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Multimodal mechanical circulatory assist for perioperative biventricular failure
  • +4
  • Yukiharu Sugimura,
  • Arash Mehdiani,
  • Hug Aubin,
  • Philipp Rellecke,
  • Udo Boeken,
  • Artur Lichtenberg,
  • Payam Akhyari
Yukiharu Sugimura
Heinrich-Heine-Universitat Dusseldorf
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Arash Mehdiani
Heinrich-Heine-Universitat Dusseldorf
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Hug Aubin
Heinrich-Heine-Universitat Dusseldorf
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Philipp Rellecke
Heinrich-Heine-Universitat Dusseldorf
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Udo Boeken
Heinrich-Heine-Universitat Dusseldorf
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Artur Lichtenberg
University Hospital Dusseldorf
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Payam Akhyari
Heinrich-Heine-Universitat Dusseldorf
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Abstract

A 61-year-old woman with acute myocardial infarction (MI), cardiogenic shock and Impella CP support underwent emergency coronary artery bypass grafting. Postoperatively venous-arterial extracorporeal membrane oxygenation (va-ECMO) became necessary, followed by Impella 5.0 insertion on 7th postoperative day (POD), addition of right ventricular support by TandemHeart due to inadequate flow of Impella system, which then allowed for va-ECMO weaning. Impella und TandemHeart were removed on 14th POD, 31st POD, respectively. Biventricular decompensation following MI was successfully treated by a sequence of different mechanical circulatory support systems allowing an adaptive weaning strategy.

Peer review status:UNDER REVIEW

07 Sep 2020Submitted to Journal of Cardiac Surgery
08 Sep 2020Assigned to Editor
08 Sep 2020Submission Checks Completed
08 Sep 2020Reviewer(s) Assigned