AI Article Synopsis
- VA-ECMO is a treatment for acute heart and lung failure, but it can cause issues like left ventricular (LV) distension when the heart isn't pumping well.
- The Impella LP 2.5 device was used to relieve this LV pressure in a 70-year-old man with severe heart failure who was put on VA-ECMO due to cardiogenic shock and pulmonary edema.
- After five days of treatment, both the VA-ECMO and Impella devices were successfully removed as the patient’s heart function improved.
Article Abstract
Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is commonly used as a means of support for acute cardiopulmonary failure. In the setting of severe left ventricular (LV) dysfunction, VA-ECMO may be complicated by LV distension, which can lead to pulmonary edema and compromise myocardial recovery. Traditional decompression methods carry significant risk. We report the use of the Impella LP 2.5 for LV decompression in a 70-year-old man with decompensated heart failure who was placed on VA-ECMO for cardiogenic shock with severe pulmonary edema and respiratory failure. Both devices were successfully weaned on day 5 of VA-ECMO support, after myocardial recovery.
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| http://dx.doi.org/10.1111/j.1540-8191.2011.01338.x | DOI Listing |
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