Intraventricular Free-Floating Thrombus in an Impella-Supported Patient

Dan Nguyen, MD; David Ellison, MD; Christian Ngo, MD; Zachary Steinberg, MD; Creighton Don, MD, PhD; Richard K. Cheng, MD, MSc

JACC: Case Reports (Jun 2020)

Intraventricular Free-Floating Thrombus in an Impella-Supported Patient

Dan Nguyen, MD,
David Ellison, MD,
Christian Ngo, MD,
Zachary Steinberg, MD,
Creighton Don, MD, PhD,
Richard K. Cheng, MD, MSc

Affiliations

Dan Nguyen, MD: Division of Cardiology, Department of Internal Medicine, University of Washington Medical Center, Seattle, Washington
David Ellison, MD: Division of Cardiology, Department of Internal Medicine, University of Washington Medical Center, Seattle, Washington
Christian Ngo, MD: Division of Cardiology, Department of Internal Medicine, University of Washington Medical Center, Seattle, Washington
Zachary Steinberg, MD: Division of Cardiology, Department of Internal Medicine, University of Washington Medical Center, Seattle, Washington
Creighton Don, MD, PhD: Division of Cardiology, Department of Internal Medicine, University of Washington Medical Center, Seattle, Washington
Richard K. Cheng, MD, MSc: Address for correspondence: Dr. Richard K. Cheng, Division of Cardiology, Department of Internal Medicine, University of Washington Medical Center, 1959 NE Pacific Street, Box 356422, Seattle, Washington 98195-6422.; Division of Cardiology, Department of Internal Medicine, University of Washington Medical Center, Seattle, Washington

Journal volume & issue: Vol. 2, no. 6
pp. 886 – 888

Abstract

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We describe the management and clinical decision making in a cardiogenic shock patient with a free-floating left ventricular thrombus found during temporary mechanical support with an Impella CP. The management of these patients can be challenging because there are no guidelines or data to support any particular treatment strategy. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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