VA-ECMO-Facilitated Clot Debulking and PFO Closure in a Patient With Recurrent Pulmonary Thromboses

Kathryn Harris; Javier Farinas; Jamie Lesnock; Candice Lee; Barinder Hansra

doi:10.1016/j.jaccas.2023.102054

VA-ECMO-Facilitated Clot Debulking and PFO Closure in a Patient With Recurrent Pulmonary Thromboses

JACC Case Rep. 2023 Dec 6:27:102054. doi: 10.1016/j.jaccas.2023.102054.

Authors

Kathryn Harris¹, Javier Farinas¹, Jamie Lesnock¹, Candice Lee², Barinder Hansra¹

Affiliations

¹ University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
² Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.

Abstract

A 27-year-old female with stage IIIc cervical cancer presented with dyspnea and stroke symptoms. Work-up revealed bilateral pulmonary embolisms, acute/subacute strokes, and a patent foramen ovale. After multidisciplinary team discussion, the patient underwent patent foramen ovale closure, complicated by cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation. She successfully underwent pulmonary thromboendarterectomy, extracorporeal membrane oxygenation decannulation, and hospital discharge.

Keywords: atrial septal defect; cardiac assist devices; hemodynamics; pulmonary hypertension; right ventricle; shortness of breath; stroke; thrombosis.

Publication types

Case Reports