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