Impella 5.5 for Preoperative Optimization in the Setting of Ruptured Papillary Muscle
David Rekhtman1, Amit Iyengar1, Jason Han1
1Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States.
The Thoracic and Cardiovascular Surgeon Reports
|September 2, 2025
Abstract:
Cardiogenic shock in the setting of a ruptured papillary muscle can be extremely challenging to manage. We report two cases of successful and safe hemodynamic optimization with a modern axial-flow temporary left ventricular assist device, the Impella 5.5, prior to mitral valve replacement for this indication.
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