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We present here a patient who suffered complete thrombosis of a fresh mitral prosthesis and left atrium in the setting of ECMO with aortic insufficiency who was treated with repeat valve replacement and thrombectomy. To our knowledge, she is the only patient in the reported literature to have survived this complication.<\/jats:p>","DOI":"10.1186\/s13019-024-02916-3","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T06:02:37Z","timestamp":1719381757000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complete thrombosis of a bioprosthetic mitral valve and left atrium in a patient on venoarterial extracorporeal membrane oxygenation with favorable outcome"],"prefix":"10.1186","volume":"19","author":[{"given":"James","family":"Hall","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Khilkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil","family":"Abrol","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,26]]},"reference":[{"key":"2916_CR1","doi-asserted-by":"crossref","unstructured":"Lorusso R, Shekar K, MacLaren G, Schmidt M, Pelegrino V, Meyns B, Haft J, Vercaemst L, Pappalardo F, Bermlidez C, Belohlavek J, Hou X, Boeken U, Castillo R, Donker D, Abrams D, Ranucci M, Hryniewicz K, Chavez I, Chen YS, Salazar L, Whiteman G. ELSO Interim guidelines for venoarterial extracorporeal membrane oxygenation in adult cardiac patients. Am Soc Artif Intern Organs J 2021; Guidelines 2021: 827\u201344. https:\/\/www.elso.org\/Portals\/0\/files\/pdf\/ELSO_Interim_Guidelines_for_Venoarterial.2.pdf.","DOI":"10.1097\/MAT.0000000000001510"},{"issue":"4","key":"2916_CR2","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1177\/0267659117745369","volume":"33","author":"C Weber","year":"2018","unstructured":"Weber C, Deppe AC, Sabashnikov A, Slottosch I, Kuhn E, Eghbalzadeh K, Scherner M, Choi YH, Madershahian N, Wahlers T. Left ventricular thrombus formation in patients undergoing femoral veno-arterial extracorporeal membrane oxygenation. Perfusion. 2018;33(4):283\u20138. Epub 2017 Nov 24. PMID: 29172999.","journal-title":"Perfusion"},{"issue":"4","key":"2916_CR3","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1051\/ject\/201648162","volume":"48","author":"B Williams","year":"2016","unstructured":"Williams B, Bernstein W. Review of venoarterial extracorporeal membrane oxygenation and development of Intracardiac thrombosis in adult cardiothoracic patients. J Extra Corpor Technol. 2016;48(4):162\u20137. PMID: 27994255; PMCID: PMC5153301.","journal-title":"J Extra Corpor Technol"},{"issue":"1","key":"2916_CR4","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1186\/s13054-016-1570-4","volume":"20","author":"JE Millar","year":"2016","unstructured":"Millar JE, Fanning JP, McDonald CI, McAuley DF, Fraser JF. The inflammatory response to extracorporeal membrane oxygenation (ECMO): a review of the pathophysiology. Crit Care. 2016;20(1):387. https:\/\/doi.org\/10.1186\/s13054-016-1570-4. PMID: 27890016; PMCID: PMC5125043.","journal-title":"Crit Care"},{"issue":"47","key":"2916_CR5","doi-asserted-by":"publisher","first-page":"4530","DOI":"10.1093\/eurheartj\/ehaa825","volume":"41","author":"R Sweda","year":"2020","unstructured":"Sweda R, Berger D, Heverhagen JT, Hunziker L. Pulmonary haemorrhage on veno-arterial ECMO: consequences of missed aortic valve regurgitation. Eur Heart J. 2020;41(47):4530. https:\/\/doi.org\/10.1093\/eurheartj\/ehaa825.","journal-title":"Eur Heart J"},{"key":"2916_CR6","doi-asserted-by":"publisher","first-page":"2019","DOI":"10.1161\/CIRCULATIONAHA.119.034512","volume":"140","author":"P Eckman","year":"2019","unstructured":"Eckman P, Katz J, Banayosy A, Bohula E, Sun B, van Diepan S. Veno-arterial extracorporeal membrane oxygenation for cardiogenic shock. Circulation. 2019;140:2019\u201337. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.119.034512.","journal-title":"Circulation"},{"issue":"1","key":"2916_CR7","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1177\/2010105818779600","volume":"28","author":"A Lu","year":"2019","unstructured":"Lu A, Chew STH. Successful use of extracorporeal cardiopulmonary membrane oxygenation in acute severe aortic regurgitation with cardiovascular collapse. Proc Singap Healthc. 2019;28(1):65\u20137. https:\/\/doi.org\/10.1177\/2010105818779600.","journal-title":"Proc Singap Healthc"},{"issue":"5","key":"2916_CR8","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1016\/j.jaccas.2021.12.030","volume":"4","author":"M Chiang","year":"2022","unstructured":"Chiang M, Gonzalez PE, O\u2019Neill BP, Lee J, Frisoli T, Wang DD, O\u2019Neill WW, Villablanca PA. Left atrial venoarterial extracorporeal membrane oxygenation for Acute aortic regurgitation and cardiogenic shock. JACC Case Rep. 2022;4(5):276\u20139. PMID: 35257102; PMCID: PMC8897074.","journal-title":"JACC Case Rep"},{"issue":"9697","key":"2916_CR9","doi-asserted-by":"publisher","first-page":"1271","DOI":"10.1016\/S0140-6736(09)60994-6","volume":"374","author":"Y Chandrashekar","year":"2009","unstructured":"Chandrashekar Y, Westaby S, Narula J, Mitral stenosis. Lancet. 2009;374(9697):1271\u201383. https:\/\/doi.org\/10.1016\/S0140-6736(09)60994-6.","journal-title":"Lancet"},{"issue":"2","key":"2916_CR10","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1111\/jocs.16122","volume":"37","author":"K Lee","year":"2021","unstructured":"Lee K, Jung Y, Jeong I, Song S, Na K, Oh S. Acute biological mitral valve thrombosis after the left atrial venting in a patient with a venoarterial extracorporeal membrane oxygenator. J Card Surg. 2021;37(2):437\u20139. https:\/\/doi.org\/10.1111\/jocs.16122.","journal-title":"J Card Surg"},{"key":"2916_CR11","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1510\/icvts.2008.193391","volume":"8","author":"F Weis","year":"2009","unstructured":"Weis F, Beiras-Fernandez A, Bruegger D, et al. Huge intracardiac thrombosis in a patient on veno-arterial extracorporeal membrane oxygenation support. Interact Cardiovasc Thorac Surg. 2009;8:247\u20139.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2916_CR12","doi-asserted-by":"publisher","first-page":"664","DOI":"10.1053\/j.jvca.2011.06.020","volume":"26","author":"L Gaide-Chevronnay","year":"2012","unstructured":"Gaide-Chevronnay L, Durand M, Rossi-Blancher M, et al. Cardiac thrombosis in a patient during extracorporeal life support. 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Echocardiography. 2013;30:E342\u20133.","journal-title":"Echocardiography"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02916-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02916-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02916-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T06:10:30Z","timestamp":1719382230000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02916-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,26]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2916"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02916-3","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,26]]},"assertion":[{"value":"19 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 June 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The patient in this case has consented for her case to be printed here understanding that no protected health information or patient identifying data will be included.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"380"}}