Figure Legends
Figure 1. A: Chest X-ray (CXR) on admission revealing significant pulmonary edema (PLE). B: Coronary angiography (CAG) showing occlusion of the high-lateral branch (white arrow). C: Transesophageal echocardiography revealing mitral valve prolapse (MVP) with papillary muscle rupture (white arrow). D, E: Intraoperative findings. LA, left atrium; LV, left ventricle
Figure 2. Extracorporeal membrane oxygenation (ECMO) flow, Impella performance level (ImPL), and inotropic-agent dose during surgery in Case 1. ECMO, extracorporeal membrane oxygenation; CPB, cardiopulmonary bypass; IABP, intra-aortic balloon pumping; V-A, venoarterial ECMO; DOB, dobutamine; Nad, noradrenaline; sBP, systolic blood pressure; dBP, diastolic blood pressure; pO2, partial pressure of oxygen
Figure 3. A: Preoperative CXR revealing significant PLE. B, C: CAG showing two vessel diseases (white arrow). D: Ultrasonic echocardiography (UCG) revealing MVP (white arrow).
Figure 4. ECMO flow, ImPL, and inotropic-agent dose during surgery in Case 2.
Figure 5. Knacks and pitfalls during mitral valve surgery with Impella