Impella 5.0 supported oncological surgery as bridge to LVAD

Andrea Montisci; Giancarlo Micheletto; Serena Sibilio; Francesco Donatelli; Maurizio Tespili; Carlo Banfi; Francesco Casilli; Daniele Cosseta; Antonio Miceli; Silvia Cirri; Federico Pappalardo

doi:10.1002/ehf2.12758

ESC Heart Failure (Feb 2021)

Impella 5.0 supported oncological surgery as bridge to LVAD

Andrea Montisci,
Giancarlo Micheletto,
Serena Sibilio,
Francesco Donatelli,
Maurizio Tespili,
Carlo Banfi,
Francesco Casilli,
Daniele Cosseta,
Antonio Miceli,
Silvia Cirri,
Federico Pappalardo

Affiliations

Andrea Montisci: Department of Anesthesia and Intensive Care, Cardiothoracic Centre Istituto Clinico Sant'Ambrogio Milan Italy
Giancarlo Micheletto: Department of General Surgery Istituto Clinico Sant'Ambrogio Milan Italy
Serena Sibilio: Chair of Cardiac Surgery, Postgraduate in Cardiac Surgery University of Milan Milan Italy
Francesco Donatelli: Chair of Cardiac Surgery, Postgraduate in Cardiac Surgery University of Milan Milan Italy
Maurizio Tespili: Department of Interventional Cardiology, Cardiothoracic Centre Istituto Clinico Sant'Ambrogio Milan Italy
Carlo Banfi: Chair of Cardiac Surgery, Postgraduate in Cardiac Surgery University of Milan Milan Italy
Francesco Casilli: Department of Interventional Cardiology, Cardiothoracic Centre Istituto Clinico Sant'Ambrogio Milan Italy
Daniele Cosseta: Department of Anesthesia and Intensive Care, Cardiothoracic Centre Istituto Clinico Sant'Ambrogio Milan Italy
Antonio Miceli: Department of Minimally Invasive Cardiac Surgery, Cardiothoracic Centre Istituto Clinico Sant'Ambrogio Milan Italy
Silvia Cirri: Department of Anesthesia and Intensive Care, Cardiothoracic Centre Istituto Clinico Sant'Ambrogio Milan Italy
Federico Pappalardo: Advanced Heart Failure and Mechanical Circulatory Support Program San Raffaele Scientific Institute Milan Italy

DOI: https://doi.org/10.1002/ehf2.12758
Journal volume & issue: Vol. 8, no. 1
pp. 167 – 170

Abstract

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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.

Published in ESC Heart Failure

ISSN: 2055-5822 (Online)
Publisher: Wiley
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)2055-5822

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