Free floating thrombus in the ascending aorta after extracorporeal cardiopulmonary resuscitation (ECPR): a case series

Ascending aortic thrombosis is an underrecognized complication of ECPR, particularly in patients with non-ejecting hearts. Surgical removal of aortic thrombi, as performed in the first case, may prevent embolic events but lacks standardized guidelines. These cases underscore the need for heightened awareness, early detection, and development of management protocols to mitigate thrombotic risks in ECPR patients. Further studies are warranted to establish treatment strategies for this rare but severe complication.

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Publication Details

Journal
European Heart Journal - Case Reports
Published
2025-08-04
DOI
https://doi.org/10.1093/ehjcr/ytaf375
Primary Topic
Mechanical Circulatory Support Devices
Type
article
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article

Free floating thrombus in the ascending aorta after extracorporeal cardiopulmonary resuscitation (ECPR): a case series

Jordi Riera, María Alejandra Gabaldón, Ignacio Ferreira‐González, María Vidal‐Burdeus et al.
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European Heart Journal - Case Reports
Mechanical Circulatory Support Devices
article

Free floating thrombus in the ascending aorta after extracorporeal cardiopulmonary resuscitation (ECPR): a case series

Jordi Riera, María Alejandra Gabaldón, Ignacio Ferreira‐González, María Vidal‐Burdeus, Aitor Uribarri, Marco Tomasino, Neiser Palmer, Francisco Gonzalez‐Santorum
article en

Abstract

Ascending aortic thrombosis is an underrecognized complication of ECPR, particularly in patients with non-ejecting hearts. Surgical removal of aortic thrombi, as performed in the first case, may prevent embolic events but lacks standardized guidelines. These cases underscore the need for heightened awareness, early detection, and development of management protocols to mitigate thrombotic risks in ECPR patients. Further studies are warranted to establish treatment strategies for this rare but severe complication.

European Heart Journal - Case ReportsVol. 9(8)
Hebron University (PS), Sofradir (France) (FR), Instituto de Salud Carlos III (ES), Centro de Investigación en Red en Enfermedades Cardiovasculares (ES), Vall d'Hebron Institut de Recerca (ES), Vall d'Hebron Hospital Universitari (ES), Center for International Forestry Research (ID)
Good health and well-being
Openalex Percentile: Top 82%
Mechanical Circulatory Support Devices
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Free floating thrombus in the ascending aorta after extracorporeal cardiopulmonary resuscitation (ECPR): a case series — Jordi Riera, María Alejandra Gabaldón, et al. · European Heart Journal - Case Reports (2025) | TGRS Research Map | TGRS