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Aortic valve injury and complete atrioventricular block related to Impella device

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Abstract

The Impella device can effectively unload the left ventricle in patients undergoing high-risk percutaneous coronary intervention (PCI) and in cases of cardiogenic shock. Herein, we report a rare case of a 59-year-old man who was treated using PCI and the Impella CP for acute coronary syndrome. The patient suffered from severe acute aortic regurgitation and complete atrioventricular block (CAVB) with hemodynamic instability soon after the Impella removal. The non-coronary cusp (NCC) tear occurred from the NCC and right coronary cusp commissure to the middle of the NCC. The patient successfully underwent aortic valve replacement with no CAVB postoperatively.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, 3-6-1 Shimosueyoshi, Yokohama, Kanagawa, 230-8765, Japan

    Yu Inaba & Yasunori Iida

  2. Department of Cardiology, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan

    Yuki Kozai & Yasunari Sakamoto

Authors
  1. Yu Inaba
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  2. Yasunori Iida
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  3. Yuki Kozai
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  4. Yasunari Sakamoto
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Correspondence to Yu Inaba.

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All the authors have no conflicts of interest.

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Inaba, Y., Iida, Y., Kozai, Y. et al. Aortic valve injury and complete atrioventricular block related to Impella device. Gen Thorac Cardiovasc Surg 69, 882–884 (2021). https://doi.org/10.1007/s11748-020-01575-0

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  • DOI: https://doi.org/10.1007/s11748-020-01575-0

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