Skip to main content
SpringerLink
Log in

Impella support as a bridge to scheduled surgical repair of ventricular septal rupture

  • Case Report
  • Artificial Heart (Clinical)
  • Published:
Journal of Artificial Organs Aims and scope Submit manuscript

Abstract

We studied the experience of a 69-year-old woman with acute decompensated heart failure due to post-infarction ventricular septal rupture. She received mechanical hemodynamic support by Impella 2.5 (Abiomed, Danvers, MA, USA), percutaneous axial-flow left ventricular assist device, which improved intra-cardiac pressure, maintaining end-organ function. She was successfully bridged to the scheduled surgical repair of ventricular septal rupture following the 9-day Impella support and discharged on foot on the 32nd day. Impella might be a useful mechanical circulatory support device as a bridge tool to the scheduled surgical repair of ventricular septal rupture if used with careful daily management to prevent device-related comorbidities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Ibanez B, James S, Agewall S, et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2018;39:119–77.

    Article  Google Scholar 

  2. O'Gara PT, Kushner FG, Ascheim DD, et al. ACCF/AHA guideline for the management of ST-elevation myocardial infarction. Circulation. 2013;127:e362–425.

    PubMed  Google Scholar 

  3. Holmes DR, Bates ER, Kleiman NS, et al. Contemporary reperfusion therapy for cardiogenic shock: the GUSTO-I trial experience. J Am Coll Cardiol. 1995;26:668–74.

    Article  Google Scholar 

  4. Arnaoutakis GJ, Zhao Y, George TJ, et al. Surgical repair of ventricular septal defect after myocardial infarction: outcomes from the Society of Thoracic Surgeons National Database. Ann Thorac Surg. 2012;94:436–43 (Discussion 43–4).

    Article  Google Scholar 

  5. Sakaguchi G, Miyata H, Motomura N, et al. Surgical repair of post-infarction ventricular septal defect: findings from a Japanese National Database. Circ J. 2019;83:2229–35.

    Article  Google Scholar 

  6. Dawson AG, Williams SG, Cole D. Does the placement of an Amplatzer septal occluder device confer benefit in patients with a post-infarction ventricular septal defect? Interact Cardiovasc Thorac Surg. 2014;19:1040–7.

    Article  Google Scholar 

  7. Pahuja M, Schrage B, Westermann D, et al. Hemodynamic effects of mechanical circulatory support devices in ventricular septal defect. Circ Heart fail. 2019;12:e005981.

    PubMed  Google Scholar 

  8. Li H, Zhang S, Yu M, et al. Profile and outcomes of surgical treatment for ventricular septal rupture in patients with shock. Ann Thorac Surg. 2019;108:1127–32.

    Article  Google Scholar 

  9. Patane F, Centofanti P, Zingarelli E, et al. Potential role of the Impella recover left ventricular assist device in the management of postinfarct ventricular septal defect. J Thorac Cardiovasc Surg. 2009;137:1288–9.

    Article  Google Scholar 

  10. La Torre MW, Centofanti P, Attisani M, et al. Posterior ventricular septal defect in presence of cardiogenic shock: early implantation of the impella recover LP 5.0 as a bridge to surgery. Tex Heart Instit J. 2011;38:42–9.

    Google Scholar 

  11. Ancona MB, Regazzoli D, Mangieri A, et al. Post-infarct ventricular septal rupture: early Impella implantation to delay surgery and reduce surgical risk. Cardiovasc Interv and Ther. 2017;32:381–5.

    Article  Google Scholar 

  12. Seyfarth M, Sibbing D, Bauer I, et al. A randomized clinical trial to evaluate the safety and efficacy of a percutaneous left ventricular assist device versus intra-aortic balloon pumping for treatment of cardiogenic shock caused by myocardial infarction. J Am Coll Cardiol. 2008;52:1584–8.

    Article  Google Scholar 

  13. Nakamura M, Imamura T, Ueno H, et al. Current indication and practical management of percutaneous left ventricular assist device support therapy in Japan. J Cardiol. 2019. https://doi.org/10.1016/j.jjcc.2019.12.003.

    Article  PubMed  Google Scholar 

  14. Patel N, Sharma A, Dalia T, et al. Vascular complications associated with percutaneous left ventricular assist device placement: A 10-year US perspective. Catheter Cardiovasc Interv. 2020;75:228–32.

    Google Scholar 

  15. Sibbald M, Dzavik V. Severe hemolysis associated with use of the Impella LP 2.5 mechanical assist device. Catheter Cardiovasc Interv. 2012;80:840–4.

    Article  Google Scholar 

  16. Badiye AP, Hernandez GA, Novoa I, et al. Incidence of hemolysis in patients with cardiogenic shock treated with Impella percutaneous left ventricular assist device. ASAIO J. 2016;62:11–4.

    Article  CAS  Google Scholar 

  17. Cardozo S, Ahmed T, Belgrave K. Impella induced massive hemolysis: reemphasizing echocardiographic guidance for correct placement. Case Rep Cardiol. 2015;2015:464135.

    PubMed  PubMed Central  Google Scholar 

  18. Nakao Y, Aono J, Tasaka T, et al. Impella 5.0 mechanical assist device catheter-induced severe hemolysis due to giant swinging motion- new concern in Impella usage. Circ J. 2019;83:2080.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The Second Department of Internal Medicine, University of Toyama, 2630 Sugitani, Toyama, Toyama, 930-0194, Japan

    Makiko Nakamura, Teruhiko Imamura, Takuya Fukui, Youhei Ueno, Hiroshi Ueno & Koichiro Kinugawa

  2. Department of Cardiovascular Surgery, University of Toyama, Toyama, Japan

    Shigeki Yokoyama, Toshio Doi & Kazuaki Fukahara

Authors
  1. Makiko Nakamura
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Teruhiko Imamura
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Takuya Fukui
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Youhei Ueno
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hiroshi Ueno
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Shigeki Yokoyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Toshio Doi
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Kazuaki Fukahara
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Koichiro Kinugawa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Teruhiko Imamura.

Ethics declarations

Conflict of interest

There is no conflict of interest related to this manuscript.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nakamura, M., Imamura, T., Fukui, T. et al. Impella support as a bridge to scheduled surgical repair of ventricular septal rupture. J Artif Organs 23, 278–282 (2020). https://doi.org/10.1007/s10047-020-01163-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10047-020-01163-2

Keywords

Search

Navigation