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Left Main Coronary Artery Compression following Melody Pulmonary Valve Implantation : Use of Impella Support as Rescue Therapy and Perioperative Challenges with ECMO
Joint Authors
Gillespie, Shane M.
Pulido, Juan N.
Dearani, Joseph A.
Cetta, Frank
Wittwer, Erica D.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-18
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
The purpose of this case is to describe the complex perioperative management of a 30-year-old woman with congenital heart disease and multiple resternotomies presenting with pulmonary homograft dysfunction and evaluation for percutaneous pulmonary valve replacement.
Transvenous, transcatheter Melody valve placement caused left main coronary artery occlusion and cardiogenic shock.
An Impella ventricular assist device (VAD) provided rescue therapy during operating room transport for valve removal and pulmonary homograft replacement.
ECMO support was required following surgery.
Several days later during an attempted ECMO wean, her hemodynamics deteriorated abruptly.
Transesophageal and epicardial echocardiography identified pulmonary graft obstruction, requiring homograft revision due to large thrombosis.
This case illustrates a role for Impella VAD as bridge to definitive procedure after left coronary occlusion and describes management of complex perioperative ECMO support challenges.
American Psychological Association (APA)
Wittwer, Erica D.& Pulido, Juan N.& Gillespie, Shane M.& Cetta, Frank& Dearani, Joseph A.. 2014. Left Main Coronary Artery Compression following Melody Pulmonary Valve Implantation : Use of Impella Support as Rescue Therapy and Perioperative Challenges with ECMO. Case Reports in Critical Care،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-511538
Modern Language Association (MLA)
Wittwer, Erica D.…[et al.]. Left Main Coronary Artery Compression following Melody Pulmonary Valve Implantation : Use of Impella Support as Rescue Therapy and Perioperative Challenges with ECMO. Case Reports in Critical Care No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-511538
American Medical Association (AMA)
Wittwer, Erica D.& Pulido, Juan N.& Gillespie, Shane M.& Cetta, Frank& Dearani, Joseph A.. Left Main Coronary Artery Compression following Melody Pulmonary Valve Implantation : Use of Impella Support as Rescue Therapy and Perioperative Challenges with ECMO. Case Reports in Critical Care. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-511538
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-511538