Edge-to-edge mitral repair for iatrogenic chordal rupture related to Impella 5.0.
Hiroto KitaharaSamer NajjarSara AhmedPhillip LamAjay KadakkalMaria RodrigoMark HofmeyerFarooq SheikhEzequiel MolinaPublished in: Journal of cardiac surgery (2021)
Iatrogenic chordal rupture with severe mitral regurgitation is a rare but serious complication associated with the use of Impella device. We present a case of a 47-year-old man with ischemic cardiomyopathy who required insertion of an Impella 5.0 device. During Impella support, he developed acute pulmonary edema secondary to newly diagnosed posterior mitral valve chordal rupture and subsequent severe mitral regurgitation. He underwent implantation of a durable left ventricular assist device with concomitant edge-to-edge mitral valve repair through the apex.
Keyphrases
- left ventricular assist device
- mitral valve
- newly diagnosed
- extracorporeal membrane oxygenation
- drug induced
- left atrial
- early onset
- left ventricular
- liver failure
- heart failure
- brain injury
- blood brain barrier
- acute respiratory distress syndrome
- hepatitis b virus
- atrial fibrillation
- cerebral ischemia
- aortic valve
- mechanical ventilation