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Vol. 48. Núm. 3.
Páginas 187-188 (marzo 2024)
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Vol. 48. Núm. 3.
Páginas 187-188 (marzo 2024)
Images in Intensive Medicine
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An uncommon echocardiographic finding in the inferior vena cava after decannulation of extracorporeal membrane oxygenation
Un hallazgo ecocardiográfico infrecuente en la vena cava inferior tras la decanulación de la oxigenación por membrana extracorpórea
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Xiaoyang Zhou, Jianneng Pan, Bixin Chen
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nbsdeyyicu@163.com

Corresponding author.
Department of Intensive Care Medicine, Ningbo No.2 Hospital, Ningbo, Zhejiang 315000, China
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A 35-year-old woman presented to the emergency department with dyspnea and chest tightness lasting for 1 day. Computed tomographic pulmonary angiography confirmed the diagnosis of acute pulmonary embolism (Fig. 1a, yellow arrow). Venovenous extracorporeal membrane oxygenation (VV-ECMO) was implanted due to severe hypoxemia (a P/F ratio of 64 mmHg). Three days later, VV-ECMO was successfully decannulated, and an immediate ultrasound examination detected a rare morphology of ECMO-related thrombus in the inferior vena cava (IVC): a pedunculated, polypoid mobile thrombus floating with a heartbeat (Video 1 and Fig. 1b). The IVC thrombus dissipated after a 3-week standard anticoagulant treatment (Video 2). The case indicated the necessity of routine IVC ultrasound examination after the decannulation of ECMO.

Figure 1
(0.39MB).
Contribution of the authors

Zhou X, Pan J, and Chen B participated in the care of the patient. Zhou X and Chen B drafted the manuscript and revised the manuscript. All authors read and approved the final manuscript.

Funding

This work was supported by the grants from Zhejiang Medicine and Health Science and Technology Project (No. 2023KY1084; 2021KY1027) and the Project of NINGBO Leading Medical & Health Discipline (No. 2022-F16). The funders had no role in the study design, data collection, and analysis, decision to publish, or preparation of the manuscript.

Conflicts of interest

The authors declare that they have no potential conflict of interest.

Consent for publication

Written informed consent was obtained from the patient for publication of this article and any accompanying images.

Acknowledgement

None.

Appendix A
Supplementary data

The following is Supplementary data to this article:

(1.22MB)
(1.28MB)

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