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Edge‐to‐edge mitral repair for iatrogenic chordal rupture related to Impella 5.0
Author(s) -
Kitahara Hiroto,
Najjar Samer,
Ahmed Sara,
Lam Phillip,
Kadakkal Ajay,
Rodrigo Maria,
Hofmeyer Mark,
Sheikh Farooq,
Molina Ezequiel
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15517
Subject(s) - medicine , mitral regurgitation , impella , cardiology , concomitant , mitral valve , mitral valve repair , complication , surgery , heart failure , ventricular assist device
Iatrogenic chordal rupture with severe mitral regurgitation is a rare but serious complication associated with the use of Impella device. We present a case of a 47‐year‐old man with ischemic cardiomyopathy who required insertion of an Impella 5.0 device. During Impella support, he developed acute pulmonary edema secondary to newly diagnosed posterior mitral valve chordal rupture and subsequent severe mitral regurgitation. He underwent implantation of a durable left ventricular assist device with concomitant edge‐to‐edge mitral valve repair through the apex.