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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
ECPELLA bridge to heart transplantation for a large ischemic ventricular septal defect and refractory ventricular
Max Frenkel1, Romulo Fajardo2, John Dollerschell3
1Medical Scientist Training Program, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Abstract:
Post-myocardial infarction (MI) ventricular septal defects (VSDs) are rare but life-threatening. Temporary mechanical support options range from intra-aortic balloon pumps (IABPs) to venoarterial extracorporeal membrane oxygenation (VA-ECMO). There are few anecdotes of the Impella as a bridge to repair. We present a case of post-MI VSD and cardiogenic shock requiring combined Impella 5.5 and VA-ECMO (ECPELLA) as a bridge to transplant.
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