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

Document Type

Conference Proceeding

Publication Date



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.


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