Division of Pediatric Cardiology, Department of Pediatrics, 14444Rady Children's Hospital, University of California, San Diego, CA, USA.
Department of Cardiovascular Surgery, 14444Rady Children's Hospital, San Diego, CA, USA.
World J Pediatr Congenit Heart Surg. 2020 Sep;11(5):643-645. doi: 10.1177/2150135120924416.
A 15-year-old presented in cardiogenic shock secondary to viral myocarditis requiring venoarterial extracorporeal membrane oxygenation (ECMO) support. He developed large thrombi of the left ventricle and aortic root. Anticoagulation was increased, and medications were initiated to decrease the likelihood of aortic valve opening. He underwent balloon atrial septostomy followed by placement of a left atrial vent. A pigtail catheter was placed in the ascending aorta for direct heparin infusion. Serial echocardiograms showed progressive resolution of the thrombi. He was successfully weaned from ECMO and discharged home without neurological deficits.
一名 15 岁患者因病毒性心肌炎导致心源性休克，需要接受静脉-动脉体外膜肺氧合（ECMO）支持。他出现了左心室和主动脉根部的大血栓。增加了抗凝治疗，并开始使用药物来降低主动脉瓣打开的可能性。他接受了球囊房间隔造口术，随后放置了左心房引流管。猪尾导管被放置在升主动脉中，以便直接输注肝素。连续的超声心动图显示血栓逐渐溶解。他成功地从 ECMO 中撤离，并在没有神经功能缺损的情况下出院回家。
