Insertion of Impella CP following postcardiotomy cardiogenic shock concomitant with veno-arterial extracorporeal membrane oxygenation.
Yasunori IidaKenji TamaiHidetoshi OkaYu InabaTakahisa MikiHiroyuki TakahashiTakashi HachiyaHideyuki ShimizuPublished in: General thoracic and cardiovascular surgery (2021)
Postcardiotomy cardiogenic shock (PCCS) is associated with considerably high rates of mortality. In PCCS, veno-arterial extracorporeal membrane oxygenation has been used despite the high rates of complications and poor outcome. Since the introduction of Impella CP (Abiomed, Danvers, MA, USA), effective left-ventricular unloading and systemic perfusion could be maintained even in patients with severe PCCS. Herein, we describe the successful treatment of PCCS following combined heart surgery in a patient by Impella CP insertion.
Keyphrases
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- left ventricular
- respiratory failure
- heart failure
- minimally invasive
- risk factors
- mechanical ventilation
- case report
- cardiovascular events
- coronary artery bypass
- acute myocardial infarction
- atrial fibrillation
- magnetic resonance imaging
- intensive care unit
- computed tomography
- coronary artery disease
- magnetic resonance
- cardiac resynchronization therapy
- drug induced
- contrast enhanced
- acute coronary syndrome
- surgical site infection