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Successful surgical employment of Impella recovery system for right ventricular failure after previous aortic valve replacement
A 58-year-old woman underwent aortic valve replacement. On the second postoperative day the patient referred a sharply chest pain, and an emergent coronary angiography revealed total occlusion of the right coronary artery. An intra-aortic ballon pump was placed and the patient underwent emergent off...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441252/ https://www.ncbi.nlm.nih.gov/pubmed/28560027 http://dx.doi.org/10.1093/jscr/rjx091 |
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author | Krakulli, Klodian Prifti, Edvin Fiorani, Vinicio Zogno, Mario |
author_facet | Krakulli, Klodian Prifti, Edvin Fiorani, Vinicio Zogno, Mario |
author_sort | Krakulli, Klodian |
collection | PubMed |
description | A 58-year-old woman underwent aortic valve replacement. On the second postoperative day the patient referred a sharply chest pain, and an emergent coronary angiography revealed total occlusion of the right coronary artery. An intra-aortic ballon pump was placed and the patient underwent emergent off-pump coronary revascularization of the right coronary artery. Five hours later, due to unstable hemodynamic the extracorporeal membrane oxygenation was implanted without improvement of the right ventricular (RV) function. Then we decided to implant the Impella Right Direct (RD). After 9 days of Impella’s insertion the RV was recovered and the device was successfully explanted. After 16 days of Impella explanted the patient was discharged. This case suggest that implantation of Impella RD is clinically feasible, associated with hemodynamic improvement, and facilitate successful bridge-to-recovery in patients with post-cardiotomy RV failure due to myocardial infarction unresponsive to coronary artery bypass grafting, maximal medical therapy, contrapulsation and extracorporeal membrane oxygenation. |
format | Online Article Text |
id | pubmed-5441252 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-54412522017-05-30 Successful surgical employment of Impella recovery system for right ventricular failure after previous aortic valve replacement Krakulli, Klodian Prifti, Edvin Fiorani, Vinicio Zogno, Mario J Surg Case Rep Case Report A 58-year-old woman underwent aortic valve replacement. On the second postoperative day the patient referred a sharply chest pain, and an emergent coronary angiography revealed total occlusion of the right coronary artery. An intra-aortic ballon pump was placed and the patient underwent emergent off-pump coronary revascularization of the right coronary artery. Five hours later, due to unstable hemodynamic the extracorporeal membrane oxygenation was implanted without improvement of the right ventricular (RV) function. Then we decided to implant the Impella Right Direct (RD). After 9 days of Impella’s insertion the RV was recovered and the device was successfully explanted. After 16 days of Impella explanted the patient was discharged. This case suggest that implantation of Impella RD is clinically feasible, associated with hemodynamic improvement, and facilitate successful bridge-to-recovery in patients with post-cardiotomy RV failure due to myocardial infarction unresponsive to coronary artery bypass grafting, maximal medical therapy, contrapulsation and extracorporeal membrane oxygenation. Oxford University Press 2017-05-23 /pmc/articles/PMC5441252/ /pubmed/28560027 http://dx.doi.org/10.1093/jscr/rjx091 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2017. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Krakulli, Klodian Prifti, Edvin Fiorani, Vinicio Zogno, Mario Successful surgical employment of Impella recovery system for right ventricular failure after previous aortic valve replacement |
title | Successful surgical employment of Impella recovery system for right ventricular failure after previous aortic valve replacement |
title_full | Successful surgical employment of Impella recovery system for right ventricular failure after previous aortic valve replacement |
title_fullStr | Successful surgical employment of Impella recovery system for right ventricular failure after previous aortic valve replacement |
title_full_unstemmed | Successful surgical employment of Impella recovery system for right ventricular failure after previous aortic valve replacement |
title_short | Successful surgical employment of Impella recovery system for right ventricular failure after previous aortic valve replacement |
title_sort | successful surgical employment of impella recovery system for right ventricular failure after previous aortic valve replacement |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441252/ https://www.ncbi.nlm.nih.gov/pubmed/28560027 http://dx.doi.org/10.1093/jscr/rjx091 |
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