Spontaneous echo contrast mimicking aortic root thrombus in a patient supported with extracorporeal membrane oxygenation

Joshua A. De Bono, David C. McGiffin, Benedict J.F. Waldron, Angeline S. Leet, Atsuo Doi

Research output: Contribution to journalArticleOtherpeer-review

1 Citation (Scopus)


Aortic root spontaneous echo contrast is a rare but significant finding. We report a 31-year-old female who was placed on venoarterial extracorporeal membrane oxygenation emergently for acute mitral regurgitation secondary to papillary muscle rupture. Following stabilization, subsequent transesophageal echocardiography suggested aortic root thrombus and prompted emergent surgery. However, further inspection with intraoperative transesophageal echocardiography revealed a spontaneous echo contrast which aided us in the intraoperative decision making.

Original languageEnglish
Pages (from-to)419-421
Number of pages3
Issue number2
Publication statusPublished - 1 Feb 2019
Externally publishedYes


  • extracorporeal membrane oxygenation
  • intraoperative transesophageal echocardiography
  • spontaneous echo contrast

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