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Proof of Concept: Trans-atrial AngioVac Aspiration of Mitral Valve Thrombosis in a COVID-19 Patient.
Gerosa, Gino; Ponzoni, Matteo; Evangelista, Giuseppe; Tessari, Chiara; Tiberio, Ivo; Molè, Angelo; Zanella, Fabio; Pittarello, Demetrio; Tarzia, Vincenzo.
  • Gerosa G; From the Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, Padua, Italy.
  • Ponzoni M; From the Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, Padua, Italy.
  • Evangelista G; From the Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, Padua, Italy.
  • Tessari C; From the Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, Padua, Italy.
  • Tiberio I; Anaesthesia and Intensive Care Unit, Department of Medicine, University of Padua, Padua, Italy.
  • Molè A; From the Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, Padua, Italy.
  • Zanella F; From the Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, Padua, Italy.
  • Pittarello D; Anaesthesia and Intensive Care Unit, Department of Medicine, University of Padua, Padua, Italy.
  • Tarzia V; From the Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, Padua, Italy.
ASAIO J ; 69(7): e342-e345, 2023 Jul 01.
Article in English | MEDLINE | ID: covidwho-2260445
ABSTRACT
In patients with a prohibitive surgical risk, the AngioVac cannula can be used to remove left-sided cardiac masses, as an off-label adaptation of the device. We herein describe a novel micro-invasive approach to gain access to the left atrium for the aspiration of a mitral valve mass in a patient affected by severe coronavirus disease 2019. Through a right anterior mini-thoracotomy, the right superior pulmonary vein was accessed and used to insert the aspiration cannula. A parallel venous-arterial extracorporeal membrane oxygenation (ECMO)-like circuit provided circulatory and respiratory support to ensure proper intra- and postoperative hemodynamic stabilization.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Atrial Fibrillation / Thrombosis / COVID-19 Type of study: Prognostic study Limits: Humans Language: English Journal: ASAIO J Journal subject: Transplantation Year: 2023 Document Type: Article Affiliation country: MAT.0000000000001910

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Atrial Fibrillation / Thrombosis / COVID-19 Type of study: Prognostic study Limits: Humans Language: English Journal: ASAIO J Journal subject: Transplantation Year: 2023 Document Type: Article Affiliation country: MAT.0000000000001910