Pump It Up: Ventricular Failure Post Aortic Root Reconstruction Requiring Combined Veno Arterial Ecmo And Impella Support

Authors

Eric Reilly, Beaumont Health Resident
Jose R. Navas, Beaumont Health

Document Type

Conference Proceeding

Publication Date

10-23-2022

Abstract

A 48 year old female with a history of mechanical aortic valve replacement underwent an emergent aortic wall repair for an ascending aortic aneurysm. After a complicated surgery the patient was transitioned to VA-ECMO and subsequently required a Bentall procedure, an Impella-CP, and a transfer for heart transplant evaluation. In this case, the patient initially had a mechanical valve, thus an Impella-CP was contraindicated and VA-ECMO was the next best option. After the Bentall procedure, the persistent LV failure warranted an Impella-CP placement. Understanding the pathophysiology of cardiogenic shock and proper indications of mechanical cardiac devices is paramount in these complex scenarios.

Comments

American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.

Recommended Citation

Reilly E, Navas J. Pump it up: ventricular failure post aortic root reconstruction requiring combined VA-ECMO and Impella support. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.