Impella 5.0 supported oncological surgery as bridge to LVAD

被引:3
|
作者
Montisci, Andrea [1 ,2 ]
Micheletto, Giancarlo [3 ,4 ]
Sibilio, Serena [2 ]
Donatelli, Francesco [2 ,5 ]
Tespili, Maurizio [6 ]
Banfi, Carlo [2 ,5 ]
Casilli, Francesco [6 ]
Cosseta, Daniele [1 ]
Miceli, Antonio [7 ]
Cirri, Silvia [1 ]
Pappalardo, Federico [8 ,9 ]
机构
[1] Ist Clin St Ambrogio, Cardiothorac Ctr, Dept Anesthesia & Intens Care, Milan, Italy
[2] Univ Milan, Chair Cardiac Surg Postgrad Cardiac Surg, Milan, Italy
[3] Ist Clin St Ambrogio, Dept Gen Surg, Milan, Italy
[4] Univ Milan, Dept Pathophysiol & Transplantat, Milan, Italy
[5] Ist Clin St Ambrogio, Cardiothorac Ctr, Dept Cardiac Surg, Milan, Italy
[6] Ist Clin St Ambrogio, Cardiothorac Ctr, Dept Intervent Cardiol, Milan, Italy
[7] Ist Clin St Ambrogio, Ctr Cardiothorac, Dept Minimally Invas Cardiac Surg, Milan, Italy
[8] Ist Sci San Raffaele, Adv Heart Failure & Mech Circulatory Support Prog, Milan, Italy
[9] Univ Vita Salute San Raffaele, Milan, Italy
来源
ESC HEART FAILURE | 2021年 / 8卷 / 01期
关键词
Mechanical circulatory support; Cancer; Left ventricular assist device; Myocardial infarction; Cariogenic shock;
D O I
10.1002/ehf2.12758
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:167 / 170
页数:4
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