Bridge to Left Ventricular Reconstruction and Mitral Valve Replacement with Pre- and Post-Operative IMPELLA 5.0 Support for Ischemic Cardiomyopathy and Functional Mitral Regurgitation
- VernacularTitle:心原性ショックをきたした虚血性心筋症と機能性僧帽弁閉鎖不全症に対して術前から IMPELLA 5.0を導入し，左室形成術と僧帽弁置換術を完遂した1例
- Author:
Soshi YOSHIDA
1
;
Hideki TSUBOTA
1
;
Tadaaki KOYAMA
1
Author Information
- Keywords: IMPELLA; ischemic cardiomyopathy; left ventricular reconstruction; functional mitral regurgitation
- From:Japanese Journal of Cardiovascular Surgery 2021;50(3):155-159
- CountryJapan
- Language:Japanese
- Abstract: A 76-year-old man with ischemic cardiomyopathy and functional severe mitral regurgitation, suffered from profound dyspnea. He displayed a very low ejection fraction (12%) and was diagnosed with cardiogenic shock. Initially, we inserted the IMPELLA 5.0 heart pump into the patient's left ventricle and began an optimal medical therapy regimen. Once hemodynamic stability was acquired, we performed left ventricular reconstruction, mitral valve replacement, and tricuspid annuloplasty. The patient was supported postoperatively with IMPELLA 5.0 and venoarterial extracorporeal membrane oxygenation. The patient was discharged on POD100. Overall, IMPELLA 5.0 may be a useful tool for perioperative support against cardiogenic shock.
