Direct right ventricular Impella LD implantation enables postoperative ambulation and may avoid sternal re-entry

Bartholomew V Simon; Yang Gu; Julie A Wyrobek; Craig R Narins; Sunil M Prasad

doi:10.1111/jocs.14626

Direct right ventricular Impella LD implantation enables postoperative ambulation and may avoid sternal re-entry

J Card Surg. 2020 Jul;35(7):1700-1702. doi: 10.1111/jocs.14626. Epub 2020 May 12.

Authors

Bartholomew V Simon¹, Yang Gu², Julie A Wyrobek², Craig R Narins³, Sunil M Prasad¹

Affiliations

¹ Department of Surgery, University of Rochester Medical Center, Rochester, New York.
² Department of Anesthesiology and Perioperative Medicine, University of Rochester Medical Center, Rochester, New York.
³ Department of Medicine, University of Rochester Medical Center, Rochester, New York.

PMID: 32400015
DOI: 10.1111/jocs.14626

Abstract

Right ventricular assist devices (RVADs) typically require groin cannulation or sternal re-entry which can be avoided by direct pulmonary artery implantation with an Impella. We report the first use of the Impella LD as a directly implanted RVAD.

Keywords: mechanical circulatory support; right ventricular assist device; right ventricular failure.

Publication types

Case Reports

MeSH terms

Adult
Cardiac Valve Annuloplasty / methods
Female
Heart Failure / etiology
Heart Failure / therapy*
Heart Valve Prosthesis Implantation / methods
Heart Ventricles*
Heart-Assist Devices*
Humans
Mitral Valve / surgery*
Mitral Valve Stenosis / complications
Mitral Valve Stenosis / surgery
Prosthesis Implantation / methods*
Pulmonary Artery*
Tricuspid Valve / surgery
Tricuspid Valve Insufficiency / complications
Tricuspid Valve Insufficiency / surgery