Open AccessTwo cases of successful treatment of acute right heart failure with Impella RP®
Author(s) -
Santer David,
Boltres Anita,
Koechlin Luca,
Hunziker Patrick,
Jeger Raban,
Maurer Markus,
Grapow Martin,
Eckstein Friedrich,
Reuthebuch Oliver
Publication year - 2020
Publication title -
esc heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.787
H-Index - 25
ISSN - 2055-5822
DOI - 10.1002/ehf2.12698
Subject(s) - medicine , impella , cardiology , heart failure , myocardial infarction , right coronary artery , perioperative , artery , aortic dissection , dissection (medical) , surgery , revascularization , cardiogenic shock , aorta , coronary angiography
Post‐operative right coronary artery occlusion is a serious complication that demands acute coronary revascularization to prevent myocardial infarction. We present two cases with acute right coronary artery obstruction caused by (1) transfemoral aortic valve implantation and (2) acute type A aortic dissection. Although coronary artery bypass grafting was performed intraoperatively, right heart failure was observed in both cases. The Impella RP® device offers temporary right ventricular mechanical support; wherefore, we decided to deploy it in both patients. The devices were uneventfully and successfully implanted to bridge for recovery of the right heart. We report the perioperative course of the patients as well as their condition at 1 year follow‐up.