We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Aortic valve insufficiency after Impella device insertion that required aortic valve replacement after Heart Mate III left ventricular assist device implantation: a case report.
- Authors
Ueda, Kohei; Yoshitani, Kenji; Hosotani, Shunsuke; Hayashi, Hisanori; Fukushima, Satsuki; Ohnishi, Yoshihiko
- Abstract
The Impella (Abiomed, Danvers, MA, USA) is a minimally invasive axial-flow catheter used in severe heart failure. We describe a case in which aortic insufficiency occurred after Impella insertion, required extra surgical intervention twice. A 33-year-old man with familial dilated cardiomyopathy was admitted to our hospital due to acute decompensation of heart failure. Despite intensive medical treatment, his hemodynamic status did not improve. Firstly, Impella was emergently implanted, and HeartMate III (Abbott, Plymouth, MN, USA) implantation was performed 2 weeks after. In the HeartMate III implantation, new aortic insufficiency had revealed and central aortic valve closure was performed concomitantly. However, on postoperative Day1, the coaptation stitch had untied, causing severe aortic insufficiency which led to another emergent operation of aortic valve replacement. We suggest that indications for Impella implantation need to be carefully discussed beforehand, especially with patients who may undergo implantation of left ventricular assist device.
- Subjects
PLYMOUTH (Mass.); HEART assist devices; AORTIC valve insufficiency; AORTIC valve transplantation; HEART failure; HEART; AORTIC valve; THERAPEUTICS
- Publication
Journal of Surgical Case Reports, 2021, Vol 2021, Issue 10, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjab420