Rotablation of Heavily Calcified Left Main Stenosis and Aortic Valve Valvuloplasty Under ECMO Cardiopulmonary Support

Issameddine Ajmi, MD; Christian Mahnkopf, MD; Johannes Brachmann, MD; Muhamet Sinani, MD; Mahmoud Oudeh, MD; Steffen Schnupp, MD

JACC: Case Reports (Dec 2020)

Rotablation of Heavily Calcified Left Main Stenosis and Aortic Valve Valvuloplasty Under ECMO Cardiopulmonary Support

Issameddine Ajmi, MD,
Christian Mahnkopf, MD,
Johannes Brachmann, MD,
Muhamet Sinani, MD,
Mahmoud Oudeh, MD,
Steffen Schnupp, MD

Affiliations

Issameddine Ajmi, MD: Address for correspondence: Dr. Issameddine Ajmi, Department of Cardiology, Klinikum Coburg, Ketschendorfer Strasse 33, 96450 Coburg, Germany.; Department of Cardiology and Intensive Care Medicine, Medical Clinic II, Coburg Clinic, Coburg, Germany
Christian Mahnkopf, MD: Department of Cardiology and Intensive Care Medicine, Medical Clinic II, Coburg Clinic, Coburg, Germany
Johannes Brachmann, MD: Department of Cardiology and Intensive Care Medicine, Medical Clinic II, Coburg Clinic, Coburg, Germany
Muhamet Sinani, MD: Department of Cardiology and Intensive Care Medicine, Medical Clinic II, Coburg Clinic, Coburg, Germany
Mahmoud Oudeh, MD: Department of Cardiology and Intensive Care Medicine, Medical Clinic II, Coburg Clinic, Coburg, Germany
Steffen Schnupp, MD: Department of Cardiology and Intensive Care Medicine, Medical Clinic II, Coburg Clinic, Coburg, Germany

Journal volume & issue: Vol. 2, no. 15
pp. 2448 – 2454

Abstract

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High-risk coronary intervention involving the left main coronary artery represents an indication for mechanical circulatory support in hemodynamically unstable patients. Extracorporeal membrane oxygenation permits adequate hemodynamic stabilization and myocardial recovery from life-threatening pulmonary and cardiac failure. Our case report demonstrates the importance of choosing the correct method of hemodynamic support in different case scenarios. (Level of Difficulty: Advanced.)

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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