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
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.)
Topics & Concepts
Cardiogenic shockImpellaCirculatory systemExtracorporeal membrane oxygenationMedicineCardiologyInternal medicineCirculatory collapseShock (circulatory)Myocardial infarctionComplicationCardiac Structural Anomalies and RepairMechanical Circulatory Support DevicesCardiac Valve Diseases and Treatments