Utilization of Shock Team and Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) in the Management of Cardiogenic Shock in Northern Ontario.

Background: Despite advancements in critical care and coronary revascularization, cardiogenic shock (CS) outcomes remain poor. Implementing a shock team and use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) have been associated with improved CS outcomes, but its feasibility in remote and rural areas remains unknown.

Methods: This retrospective study included patients with CS who required mechanical circulatory support (MCS) at Health Sciences North, Sudbury, Ontario.

Massive Mobile Left Ventricular Thrombus in a Patient With Normal Left Ventricular Systolic Function.

• Left ventricular thrombi (LVT) formation is associated with impaired LVEF. • LVT are extremely rare among patients with normal ejection fraction. • LVT may be clinically silent but may also present with embolization.