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Updated: Aug 21, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Subacute Aortic Rupture Due to Mechanical Chest Compression with Indwelling Impella
Kiril Penov1, Dejan Radakovic1, Nodir Madrahimov1
1Department of Thoracic and Cardiovascular Surgery, Julius Maximilians University Würzburg, Wurzburg, Bavaria, Germany.
Abstract:
Mechanical cardiopulmonary resuscitation (CPR) devices like Lund University Cardiopulmonary Assist System (LUCAS) cause more skeletal and visceral injuries than standard CPR. A 62-year-old woman with ST-elevation myocardial infarction was resuscitated with LUCAS and Impella CP for refractory cardiogenic shock during percutaneous coronary intervention. She suffered delayed ascending aortic rupture necessitating supracommissural ascending aortic replacement plus triple bypass grafting. Prolonged mechanical CPR with concomitant Impella may lead to aortic rupture. The combined use of LUCAS and Impella may have disastrous consequences.
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