Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Jan 21;13(1):e70123.
doi: 10.1002/ccr3.70123. eCollection 2025 Jan.

Successful Treatment of Large Left Ventricular Thrombosis During Extracorporeal Membrane Oxygenation (ECMO): A Case Report and Review of the Literature

Xue-Ting Yang  1 , Yi-Jin Chen  1   2   3 , Han Zeng  1 , Lei Deng  1 , Li Chang  1 , Yi Li  1 , Meng-Long Song  1 , Yang Zhang  1 , Wei Peng  1 , Dong Wang  4 , Hua Jiang  1   2 , Hong-Qiong Peng  1
Affiliations

Successful Treatment of Large Left Ventricular Thrombosis During Extracorporeal Membrane Oxygenation (ECMO): A Case Report and Review of the Literature

Xue-Ting Yang et al. Clin Case Rep. .

Abstract

We report a rare complication of left ventricular giant thrombus in a patient with fulminant myocarditis after venoarterial extracorporeal membrane oxygenation therapy. This case report offers simple anticoagulant treatment experiences to eliminate significant LV thrombosis in patient undergoing extracorporeal membrane oxygenation, so that patients do not need surgery.

Keywords: anticoagulant; circulatory failure; extracorporeal membrane oxygenation (ECMO); fulminant myocarditis; hemorrhagic events; left ventricular (LV) thrombus.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
(A) Showing electrocardiogram on the first day of hospitalization.
FIGURE 2
FIGURE 2
(A) Showing that on March 17, 2023, an echocardiogram revealed a left ventricular thrombus measuring 33 × 23 mm. (B) Showing that the maximum size of the thrombus (47 × 12 mm) was measured on March 20, 2023. (C) Showing that the left ventricular thrombus on March 21, 2023.
FIGURE 3
FIGURE 3
(A) Monitoring values of anticoagulant dosage, coagulation function, and partial correlation index during extracorporeal membrane oxygenation (ECMO).
See this image and copyright information in PMC

References

    1. Ammirati E., Veronese G., Cipriani M., et al., “Acute and Fulminant Myocarditis: A Pragmatic Clinicalapproach to Diagnosis and Treatment,” Current Cardiology Reports 20, no. 11 (2018): 114–126, 10.1007/s11886-018-1054-z. - DOI - PubMed
    1. Maisch B., Ruppert V., and Pankuweit S., “Management of Fulminant Myocarditis: Adiagnosis in Search of Its Etiology but With Therapeutic Options,” Current Heart Failure Reports 11, no. 2 (2014): 166–177, 10.1007/s11897-014-0196-6. - DOI - PubMed
    1. Saraiya N., Singh S., and Corpuz M., “Fatal Influenza Myocarditis With Incessant Ventricular Tachycardia,” BML Case Reports 12, no. 7 (2019): e228201–e228203, 10.1136/bcr-2018-228201. - DOI - PMC - PubMed
    1. Ponikowski P., VoorsA A., Anker S. D., et al., “ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure of the European Society of Cardiology (ESC). Developed With the Special Contribution of the Heart Failure Association (HFA) of the ESC,” European Heart Journal 18, no. 8 (2016): 891–975, 10.1002/ejhf.592. - DOI - PubMed
    1. Hill J. D., O'Brien T. G., Murray J. J., et al., “Prolonged Extracorporeal Oxygenation for Acute Post‐Traumatic Respiratory Failure (Shock‐Lung Syndrome). Use of the Bramson Membrane Lung,” New England Journal of Medicine 286, no. 12 (1972): 629–634, 10.1056/NEJM197203232861204. - DOI - PubMed

LinkOut - more resources