A Concerning Finding in the Aortic Root of a Patient on Venoarterial Extracorporeal Membrane Oxygenation

A 64 year-old man (155 cm, 56 kg) presented to hospital with an ST-elevation myocardial infarction after experiencing 6 hours of chest pain. He was taken to the cardiac catheterization laboratory where he suffered a ventricular tachycardia cardiac arrest requiring 2 minutes of cardiopulmonary resuscitation, endotracheal intubation, mechanical ventilation, and placement of an intraaortic balloon pump. Coronary angiography demonstrated severe multivessel coronary artery disease with acutely occluded left anterior descending and right coronary arteries and a large post-infarction ventricular septal defect (VSD).
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Diagnostic Dilemma Source Type: research