We describe the case of a 58-year-old man presenting with myocardial infarction complicated by cardiogenic shock, treated with Impella CP which was escalated to an axillary 5.0 due to lack of cardiac recovery. Weaning from Impella 5.0 failed, and the patient was evaluated for heart transplantation (HTx) or left ventricular assist device (LVAD). HTx was excluded because of a rectal adenocarcinoma. The patient underwent colorectal surgery while on Impella. Perioperative course was uneventful. After 61 days of Impella, when the LVAD implantation was scheduled, the patient died due to K. pneumoniae infection.

Impella 5.0 supported oncological surgery as bridge to LVAD / A. Montisci, G. Micheletto, S. Sibilio, F. Donatelli, M. Tespili, C. Banfi, F. Casilli, D. Cosseta, A. Miceli, S. Cirri, F. Pappalardo. - In: ESC HEART FAILURE. - ISSN 2055-5822. - (2020). [Epub ahead of print] [10.1002/ehf2.12758]

Impella 5.0 supported oncological surgery as bridge to LVAD

Micheletto, Giancarlo;Sibilio, Serena;Donatelli, Francesco;Miceli, Antonio;Pappalardo, Federico
2020

Abstract

We describe the case of a 58-year-old man presenting with myocardial infarction complicated by cardiogenic shock, treated with Impella CP which was escalated to an axillary 5.0 due to lack of cardiac recovery. Weaning from Impella 5.0 failed, and the patient was evaluated for heart transplantation (HTx) or left ventricular assist device (LVAD). HTx was excluded because of a rectal adenocarcinoma. The patient underwent colorectal surgery while on Impella. Perioperative course was uneventful. After 61 days of Impella, when the LVAD implantation was scheduled, the patient died due to K. pneumoniae infection.
Mechanical circulatory support; Cancer; Left ventricular assist device; Myocardial infarction; Cariogenic shock
Settore MED/23 - Chirurgia Cardiaca
Settore MED/11 - Malattie dell'Apparato Cardiovascolare
Settore MED/18 - Chirurgia Generale
7-nov-2020
ESC HEART FAILURE
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/784965
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