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Intracardiac Thrombosis Involving All Four Cardiac Chambers after Extracardiac Membranous Oxygenation Associated with MTHFR Mutations

Authors
 Bong Jun Kim  ;  Seung Hwan Song  ;  Yu Rim Shin  ;  Han Ki Park  ;  Young Hwan Park  ;  Hong Ju Shin 
Citation
 Korean Journal of Thoracic and Cardiovascular Surgery, Vol.49(3) : 207-209, 2016 
Journal Title
Korean Journal of Thoracic and Cardiovascular Surgery
ISSN
 2233-601X 
Issue Date
2016
Keywords
Extracorporeal membrane oxygenation ; Methylenetetrahydrofolate reductase ; Myocarditis ; Thrombosis
Abstract
A 4-month-old boy diagnosed with acute myocarditis was treated with extracorporeal membrane oxygenation (ECMO). Follow-up echocardiography eight hours after ECMO revealed intracardiac thrombosis involving all four heart chambers. Because of the high risk of systemic embolization due to a pedunculated thrombus of the aortic valve, we performed an emergency thrombectomy. After the operation, the patient had a minor neurologic sequela of left upper arm hypertonia, which had almost disappeared at the last outpatient clinic two months later. He was diagnosed with a major mutation in MTHFR (methylenetetrahydrofolate reductase), which is related to thrombosis.
Files in This Item:
T201604506.pdf Download
DOI
10.5090/kjtcs.2016.49.3.207
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Bong Joon(김봉준)
Park, Young Hwan(박영환) ORCID logo https://orcid.org/0000-0001-9802-8017
Park, Han Ki(박한기) ORCID logo https://orcid.org/0000-0002-7472-7822
Song, Seung Hwan(송승환)
Shin, Yu Rim(신유림)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152526
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