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It is increasingly recognized that VA ECMO, especially peripheral VA ECMO, may significantly increase left ventricular (LV) afterload through retrograde infusion of arterialized blood into the descending aorta. 1 – 4 As a consequence of this inherent limitation of VA ECMO, the myocardium is overloaded ( Figure 1a) and the .
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The accurate detection of LV thrombus directly affects treatment and clinical outcomes. Transthoracic echo-cardiography is the standard imaging technique for the detection of LV thrombus. The use of ultrasound-enhanc-ing-agent during echocardiography may up to double the sensitivity of LV thrombus detection. 15 Thus, it would seem
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