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Huge intracardiac thrombosis in a patient on veno-arterial extracorporeal membrane oxygenation support

^a Department of Anesthesiology, University Hospital Grosshadern, Ludwig-Maximilians-University, 81377 Munich, Germany
^b Department of Cardiac Surgery, University Hospital Grosshadern, Ludwig-Maximilians-University, 81377 Munich, Germany
^c Department of Clinical Radiology, University Hospital Grosshadern, Ludwig-Maximilians-University, 81377 Munich, Germany

*Corresponding author. Tel.: +49 89 70955378; fax: +49 89 70952365.

E-mail address: Florian.Weis{at}med.uni-muenchen.de (F. Weis).

A young woman suffering from congenital hypertrophic obstructive cardiomyopathy (HOCM) received a transcoronary ablation of the septal hypertrophy (TASH) and an automated Cardioverter/Defibrillator (AICD) for the relief of progressive symptoms of heart failure. She developed an acute heart failure in the perioperative period and had to be put on veno-arterial extracorporeal membrane oxygenation. Following this the patient developed a nearly complete thrombosis of the left-sided cardiac chambers, despite successful laboratory anticoagulation.

Key Words: Extracorporeal membrane oxygenation; Intracardiac thrombosis; Anticoagulation; Heart transplantation