RESUMO
[Figure: see text].
Assuntos
Permeabilidade do Canal Arterial , Procedimento de Blalock-Taussig/efeitos adversos , Permeabilidade do Canal Arterial/diagnóstico por imagem , Permeabilidade do Canal Arterial/cirurgia , Cardiopatias Congênitas , Humanos , Lactente , Cuidados Paliativos , Artéria Pulmonar , StentsRESUMO
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.
Assuntos
Procedimentos Cirúrgicos Cardíacos/métodos , Gerenciamento Clínico , Oxigenação por Membrana Extracorpórea/métodos , Trombose/terapia , Adolescente , Ecocardiografia , Átrios do Coração , Ventrículos do Coração , Humanos , Masculino , Guias de Prática Clínica como AssuntoRESUMO
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.
