Open AccessCatheter‐based embolectomy prior to right ventricular mechanical circulatory support placement after heart transplantation
Author(s) -
Jagadeesan Vikrant S.,
Davidson Laura J.,
Churyla Andrei,
Benzuly Keith H.
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/ehf2.12948
Subject(s) - medicine , impella , contraindication , heart transplantation , embolectomy , cardiology , heart failure , circulatory system , thrombus , ventricular assist device , transplantation , right heart , catheter , percutaneous , surgery , pulmonary embolism , alternative medicine , pathology
Severe acute isolated right ventricular failure has limited dedicated percutaneous temporary mechanical circulatory support options, especially after orthotopic heart transplantation. The advent of the Impella RP device provides a newer option, though an absolute contraindication to device placement is thrombus within the right heart. We present a novel case where catheter‐based embolectomy was used to evacuate right heart thrombus before Impella RP placement in a patient with severe acute right ventricular failure due to primary graft dysfunction after orthotopic heart transplantation.