Academic Journal
A case of left ventricular free wall rupture after insertion of an IMPELLA® left ventricular assist device diagnosed by transesophageal echocardiography
| العنوان: | A case of left ventricular free wall rupture after insertion of an IMPELLA® left ventricular assist device diagnosed by transesophageal echocardiography |
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| المؤلفون: | Akito Mizuno, Shuji Kawamoto, Shuji Uda, Kenichiro Tatsumi, Chikashi Takeda, Tomoharu Tanaka, Kazuhiko Fukuda |
| المصدر: | JA Clinical Reports, Vol 7, Iss 1, Pp 1-5 (2021) |
| بيانات النشر: | SpringerOpen, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Anesthesiology LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: | IMPELLA®, Left ventricular mechanical support, Myocardial infarction, Left ventricular perforation, Transesophageal echocardiography, Cardiac tamponade, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: | Abstract Background The IMPELLA® is a minimally invasive left ventricular assist device. We report a case in which transesophageal echocardiography (TEE) was useful in diagnosis of left ventricular rupture after IMPELLA® insertion. Case presentation A 75-year-old man presented to the emergency room with chest pain and underwent percutaneous coronary intervention for 100% stenosis of the left anterior descending branch #7. An IMPELLA® was inserted to stabilize the circulation, but hypotension persisted. Transthoracic echocardiography revealed increased pericardial effusion and suspicion of free wall left ventricular rupture, leading to emergency surgery. TEE revealed the IMPELLA® straying into the left ventricle apical wall and cardiac tamponade. Hemorrhage was observed from the thinning free wall and the tip of the IMPELLA® was palpable. The IMPELLA® was removed and the left ventricular wall was repaired. Conclusions The IMPELLA® requires implantation of the tip in the left ventricle, but it should be noted that a fragile ventricular wall can be easily perforated. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2363-9024 |
| Relation: | https://doaj.org/toc/2363-9024 |
| DOI: | 10.1186/s40981-021-00444-w |
| URL الوصول: | https://doaj.org/article/689ca34ff00c4cffa11dde308ef870bd |
| رقم الانضمام: | edsdoj.689ca34ff00c4cffa11dde308ef870bd |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23639024 |
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| DOI: | 10.1186/s40981-021-00444-w |