We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Successful use of Impella 5.5 to manage cardiogenic shock complicated by COVID‐19.
- Authors
Mahrokhian, Shant H.; Nordan, Taylor; Ortoleva, Jamel P.; Cobey, Frederick C.; Chen, Frederick Y.; Kapur, Navin K.; Kawabori, Masashi
- Abstract
Background: Acute decompensated heart failure in patients with coronavirus disease 2019 (COVID‐19) is becoming increasingly common. Aims: In this case report, we describe the successful use of an Impella 5.5 (Abiomed) to treat cardiogenic shock refractory to inotropic therapy. Materials & Methods: Transthoracic and transesophageal echocardiography confirmed severely diminished left ventricular ejection fraction and a reverse‐transcription polymerase chain reaction test revealed that the patient was COVID‐19 positive during his hospital admission. Results: Following initiation of inotropic therapy, we placed an Impella 5.5 for further cardiac support. The patient's LVEF and cardiac index improved after 21 days on the Impella 5.5 and was maintained following explant. Discussion & Conclusion: The findings reported here demonstrate successful use of an Impella 5.5 to improve native heart function in refractory cardiogenic shock and further indicate its use as an option for those in acute decompensated heart failure who have tested positive for COVID‐19 infection.
- Publication
Journal of Cardiac Surgery, 2021, Vol 36, Issue 12, p4783
- ISSN
0886-0440
- Publication type
Article
- DOI
10.1111/jocs.16038