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CASE REPORT
Year : 2018  |  Volume : 28  |  Issue : 3  |  Page : 194-197

Aortic valve thrombosis after valve-sparing aortic root replacement and insertion of an extracorporeal left ventricular assist device, masked by mediastinal packing


1 Department of Anaesthesia and Acute Pain Medicine, St. Vincent's Hospital Melbourne, Fitzroy, Australia
2 Department of Anesthesia and Pain Management, Toronto General Hospital, Toronto, ON, Canada
3 Division of Cardiovascular Surgery, Toronto General Hospital, Toronto, ON, Canada

Correspondence Address:
Yoshiaki Uda
Department of Anaesthesia and Acute Pain Medicine, St. Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_26_18

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Aortic valve (AV) or aortic root thrombus related to a left ventricular assist device (LVAD) is a relatively uncommon but potentially life-threatening complication. In the present report, we describe a complex case where echocardiographic diagnosis of AV thrombosis was obscured by the presence of mediastinal packing in a patient who underwent valve-sparing aortic root replacement and insertion of the CentriMag™ LVAD for postcardiotomy cardiogenic shock. A large AV thrombus may develop rapidly in patients with LVADs. This case highlights the importance of a careful and thorough transesophageal echocardiography examination in detecting this complication and in altering surgical management.


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