Combined Venoarterial ECMO and Impella-CP Circulatory Support for Cardiogenic Shock Due to Papillary Muscle Rupture

Emmanuel Ekanem, MD; Raghav Gattani, MD; Hooman Bakhshi, MD; Behnam Tehrani, MD; Wayne Batchelor, MD

JACC: Case Reports (Nov 2020)

Combined Venoarterial ECMO and Impella-CP Circulatory Support for Cardiogenic Shock Due to Papillary Muscle Rupture

Emmanuel Ekanem, MD,
Raghav Gattani, MD,
Hooman Bakhshi, MD,
Behnam Tehrani, MD,
Wayne Batchelor, MD

Affiliations

Emmanuel Ekanem, MD: Address for correspondence: Dr. Emmanuel Ekanem, Department of Medicine, Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, Virginia 22042.; Department of Medicine, Inova Heart and Vascular Institute, Falls Church, Virginia
Raghav Gattani, MD: Department of Medicine, Inova Heart and Vascular Institute, Falls Church, Virginia
Hooman Bakhshi, MD: Department of Medicine, Inova Heart and Vascular Institute, Falls Church, Virginia
Behnam Tehrani, MD: Department of Medicine, Inova Heart and Vascular Institute, Falls Church, Virginia
Wayne Batchelor, MD: Department of Medicine, Inova Heart and Vascular Institute, Falls Church, Virginia

Journal volume & issue: Vol. 2, no. 14
pp. 2169 – 2172

Abstract

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Papillary muscle rupture (PMR) is a catastrophic complication of acute myocardial infarction (AMI). We report on 3 consecutive patients with AMI cardiogenic shock due to PMR, treated with combined venoarterial extracorporeal membrane oxygenation and Impella-CP axial flow circulatory support as a bridge to definitive surgery. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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