Published: 5 October 2018
Author(s): Anke Van Mellaert, Axel Derwa, Jan De Raet
Issue: October 2018

A 32-year-old obese male with bicuspid aortic valve and severely dilated ascending aorta (59.5 mm) underwent hemi-arch aortic replacement and valvuloplasty on cardiopulmonary bypass. Due to progressive respiratory failure, veno-venous extracorporeal membrane oxygenation (ECMO) was started on postoperative day 4. On postoperative day 15, ECMO flow fell and the patient was progressively desaturating. Chest X-ray was normal. Trans-Oesophageal echocardiography revealed a mobile thrombus in the right atrium (Fig.

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