Left ventricular unloading with transaortic Impella 2.5 implantation in a pediatric patient supported by extracorporeal life support.
Rodrigo Sandoval BoburgMigdat MustafiHarry MaguniaSteffen KlingChristian SchlensakAron Frederik PopovPublished in: Artificial organs (2020)
We report the case of a 12-year old female patient with Friedreich's ataxia and diabetes mellitus. Due to a progressive multiorgan failure, a veno-arterial extracorporeal membrane oxygenation was implanted through the axillary vessels. However, due to a lack of ejection and severe dilatation of the left ventricle, an Impella 2.5 was implanted. Due to the small diameter of the femoral arteries, we performed a trans-aortic implantation through a median sternotomy via a Dacron tube graft. We report on the procedure and perioperative outcome.
Keyphrases
- extracorporeal membrane oxygenation
- left ventricular
- acute respiratory distress syndrome
- early onset
- pulmonary artery
- respiratory failure
- mitral valve
- lymph node
- multiple sclerosis
- aortic valve
- heart failure
- pulmonary hypertension
- aortic stenosis
- acute myocardial infarction
- neoadjuvant chemotherapy
- hypertrophic cardiomyopathy
- aortic valve replacement
- minimally invasive
- case report
- patients undergoing
- sentinel lymph node
- cardiac resynchronization therapy
- mechanical ventilation
- ultrasound guided
- left atrial
- squamous cell carcinoma
- coronary artery disease
- optic nerve
- acute kidney injury
- metabolic syndrome
- blood flow
- aortic dissection
- insulin resistance
- percutaneous coronary intervention