Minimally invasive biventricular mechanical circulatory support with Impella pumps as a bridge to heart transplantation: a first-in-the-world case report.
Biventricular acute heart failure
Biventricular mechanical circulatory support
Bridge to heart transplant
Cardiac sarcoidosis
Cardiogenic shock
Minimally invasive mechanical circulatory support
Percutaneous mechanical circulatory support
Journal
ESC heart failure
ISSN: 2055-5822
Titre abrégé: ESC Heart Fail
Pays: England
ID NLM: 101669191
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
24
09
2018
accepted:
06
01
2019
pubmed:
11
4
2019
medline:
18
12
2019
entrez:
11
4
2019
Statut:
ppublish
Résumé
Cardiogenic shock from biventricular failure that requires acute mechanical circulatory support carries high 30 day mortality. Acute mechanical circulatory support can serve as bridge to orthotopic heart transplant (OHT) in selected patients. We report a patient with biventricular failure secondary to rapidly progressive cardiac sarcoidosis refractory to medical management who was bridged to OHT with Impella 5.0 and Impella RP-temporary left and right ventricular assist devices, respectively. This is the first successful bridge to transplantation using these devices in biventricular heart failure and cardiogenic shock. We discuss considerations for using this strategy over veno-arterial extracorporeal membrane oxygenation or surgically implanted assist devices in patients with cardiogenic shock and biventricular failure as a bridge to OHT.
Identifiants
pubmed: 30968544
doi: 10.1002/ehf2.12412
pmc: PMC6487727
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
552-554Informations de copyright
© 2019 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.
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