Subject(s)
Cardiology , Cardiology/education , Child , Education, Medical, Graduate , Humans , North America , Treatment OutcomeABSTRACT
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Subject(s)
Ductus Arteriosus, Patent , Blalock-Taussig Procedure/adverse effects , Ductus Arteriosus, Patent/diagnostic imaging , Ductus Arteriosus, Patent/surgery , Heart Defects, Congenital , Humans , Infant , Palliative Care , Pulmonary Artery , StentsABSTRACT
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.
Subject(s)
Cardiac Surgical Procedures/methods , Disease Management , Extracorporeal Membrane Oxygenation/methods , Thrombosis/therapy , Adolescent , Echocardiography , Heart Atria , Heart Ventricles , Humans , Male , Practice Guidelines as TopicABSTRACT
In recent years, interventional cardiac magnetic resonance imaging (iCMR) has evolved from attractive theory to clinical routine at several centers. Real-time cardiac magnetic resonance imaging (CMR fluoroscopy) adds value by combining soft-tissue visualization, concurrent hemodynamic measurement, and freedom from radiation. Clinical iCMR applications are expanding because of advances in catheter devices and imaging. In the near future, iCMR promises novel procedures otherwise unsafe under standalone X-Ray guidance.
