Subacute Aortic Rupture Due to Mechanical Chest Compression with Indwelling Impella.
Kiril PenovDejan RadakovicNodir MadrahimovIvan AleksicPublished in: The Thoracic and cardiovascular surgeon reports (2022)
Mechanical cardiopulmonary resuscitation (CPR) devices like Lund University Cardiopulmonary Assist System (LUCAS) cause more skeletal and visceral injuries than standard CPR. A 62-year-old woman with ST-elevation myocardial infarction was resuscitated with LUCAS and Impella CP for refractory cardiogenic shock during percutaneous coronary intervention. She suffered delayed ascending aortic rupture necessitating supracommissural ascending aortic replacement plus triple bypass grafting. Prolonged mechanical CPR with concomitant Impella may lead to aortic rupture. The combined use of LUCAS and Impella may have disastrous consequences.
Keyphrases
- cardiac arrest
- cardiopulmonary resuscitation
- st elevation myocardial infarction
- percutaneous coronary intervention
- aortic dissection
- pulmonary artery
- aortic valve
- extracorporeal membrane oxygenation
- left ventricular
- left ventricular assist device
- st segment elevation myocardial infarction
- acute coronary syndrome
- coronary artery
- acute myocardial infarction
- coronary artery disease
- pulmonary hypertension
- coronary artery bypass grafting
- insulin resistance
- adipose tissue
- urinary tract infection