Combined Venoarterial ECMO and Impella-CP Circulatory Support for Cardiogenic Shock Due to Papillary Muscle Rupture

Emmanuel Ekanem; Raghav Gattani; Hooman Bakhshi; Behnam Tehrani; Wayne Batchelor

doi:10.1016/j.jaccas.2020.08.007

Combined Venoarterial ECMO and Impella-CP Circulatory Support for Cardiogenic Shock Due to Papillary Muscle Rupture

JACC Case Rep. 2020 Oct 14;2(14):2169-2172. doi: 10.1016/j.jaccas.2020.08.007. eCollection 2020 Nov 18.

Authors

Emmanuel Ekanem¹, Raghav Gattani¹, Hooman Bakhshi¹, Behnam Tehrani¹, Wayne Batchelor¹

Affiliation

¹ Department of Medicine, Inova Heart and Vascular Institute, Falls Church, Virginia.

Abstract

Papillary muscle rupture (PMR) is a catastrophic complication of acute myocardial infarction (AMI). We report on 3 consecutive patients with AMI cardiogenic shock due to PMR, treated with combined venoarterial extracorporeal membrane oxygenation and Impella-CP axial flow circulatory support as a bridge to definitive surgery. (Level of Difficulty: Intermediate.).

Keywords: AMI, acute myocardial infarction; CI, cardiac index; ECG, electrocardiography; LV, left ventricular; MR, mitral regurgitation; PMR, papillary muscle rupture; VA-ECMO, venoarterial extracorporeal membrane oxygenation; acute myocardial infarction; cardiogenic shock; combined VA-ECMO and Impella-CP; mechanical circulatory support; papillary muscle rupture.

Publication types

Case Reports