Related Experiment Video

Updated: Jan 5, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

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A contemporary and complete treatment solution for a high-risk patient with critical aortic stenosis, left

Julian Yeoh1, Rafal Dworakowski1, Jonathan Hill1

  • 1Department of Cardiology, King's College Hospital, London.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|October 17, 2019
PubMed

Insights

This study shows Impella CP™ with cerebral protection can safely treat complex heart conditions, including aortic stenosis and left ventricular thrombus, enabling complete revascularization and valve replacement.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Patients with severe coronary disease, valvular dysfunction, and impaired ventricular function face high procedural risks.
  • Left ventricular thrombus increases embolic risk during ventricular instrumentation.
  • Advanced techniques and devices offer solutions for safer, more efficient cardiac procedures.

Observation:

  • A patient presented with critical aortic stenosis, severe left ventricular impairment, left ventricular thrombus, and calcified left main stem disease.

Findings:

  • The use of Impella CP with cerebral protection was feasible.
  • This approach facilitated complete revascularization and percutaneous valve replacement.

Implications:

  • Advanced techniques and devices can mitigate risks in complex cardiac procedures.
  • Safer and more efficient interventions are possible for high-risk patients.

Keywords:
(ECMO, IABP, Tandem, Impella)Aortic valve diseaseCoronary artery diseaseEmbolic protection devicesInterventional devices/innovationMechanical circulartory supportTranscatheter valve implantation

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