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Updated: Nov 30, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Left ventricular unloading with transaortic Impella 2.5 implantation in a pediatric patient supported by
Rodrigo Sandoval Boburg1, Migdat Mustafi1, Harry Magunia2
1Department of Cardiovascular and Thoracic Surgery, University Hospital Tübingen, Tübingen, Germany.
Abstract:
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.

