title: Successful Use of Surgically Placed Impella 5.0 and Central Extracorporeal Membrane Oxygenation Circuit in a Patient with Postcardiotomy Shock.
abstract: The Impella 5.0, a percutaneously inserted left ventricular assist device, has been used to support patients who have severe heart failure or who are undergoing high-risk percutaneous coronary intervention. We report our surgical placement of the Impella 5.0, through a graft sewn to the aorta, to unload the left ventricle of a 59-year-old man who was undergoing venoarterial extracorporeal membrane oxygenation for postcardiotomy shock. The patient underwent successful placement of a long-term left ventricular assist device before his discharge from the hospital. The versatility of the Impella 5.0 is exemplified in this patient who was successfully bridged to long-term support.
authors.forename: Walid K
authors.initials: WK
authors.lastname: Abu Saleh
authors.forename: Phillip
authors.initials: P
authors.lastname: Mason
authors.forename: Odeaa Al
authors.initials: OA
authors.lastname: Jabbari
authors.forename: Hany
authors.initials: H
authors.lastname: Samir
authors.forename: Brian A
authors.initials: BA
authors.lastname: Bruckner
mesh_terms: D001026:Coronary Artery Bypass / Q000009:adverse effects*; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D015199:Extracorporeal Membrane Oxygenation; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D020127:Recovery of Function; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome; D016277:Ventricular Function, Left
keywords: Decompression, surgical/methods; emergency treatment; extracorporeal membrane oxygenation/instrumentation/methods; heart failure/therapy; heart-assist devices; hemodynamics; shock, cardiogenic/complications/surgery/therapy; thrombosis/prevention & control; treatment outcome; ventricular dysfunction, left/therapy