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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

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Successful use of Impella 5.5 to manage cardiogenic shock complicated by COVID-19

Shant H Mahrokhian1, Taylor Nordan1, Jamel P Ortoleva2

  • 1Division of Cardiac Surgery, CardioVascular Center, Tufts Medical Center, Boston, Massachusetts, USA.

Journal of Cardiac Surgery
|October 2, 2021
PubMed

Insights

This case report details the successful use of the Impella 5.5 heart pump in a patient with COVID-19 and severe heart failure. The device improved cardiac function, offering a new treatment option for refractory cardiogenic shock.

Area of Science:

  • Cardiology
  • Intensive Care Medicine
  • Infectious Diseases

Background:

  • Acute decompensated heart failure is a growing concern in COVID-19 patients.
  • Cardiogenic shock requires advanced circulatory support when refractory to standard therapies.

Observation:

  • A COVID-19 positive patient presented with acute decompensated heart failure and refractory cardiogenic shock.
  • Transthoracic and transesophageal echocardiography revealed severely diminished left ventricular ejection fraction.

Findings:

  • Impella 5.5 device implantation provided effective mechanical circulatory support.
  • Significant improvement in left ventricular ejection fraction and cardiac index was observed after 21 days of Impella 5.5 support.
  • Native heart function was maintained after device explantation.

Implications:

  • The Impella 5.5 is a viable option for managing refractory cardiogenic shock in COVID-19 patients.
  • This case highlights the potential of mechanical circulatory support in improving outcomes for severe heart failure during COVID-19 infection.
Abstract

Keywords:
COVID-19Impella 5.5heart failure

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