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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2022; 11(01): e64-e66
DOI: 10.1055/s-0042-1757873
Case Report: Cardiac

Subacute Aortic Rupture Due to Mechanical Chest Compression with Indwelling Impella

Kiril Penov 
1   Department of Thoracic and Cardiovascular Surgery, Julius Maximilians University Würzburg, Wurzburg, Bavaria, Germany
,
Dejan Radakovic
1   Department of Thoracic and Cardiovascular Surgery, Julius Maximilians University Würzburg, Wurzburg, Bavaria, Germany
,
Nodir Madrahimov
1   Department of Thoracic and Cardiovascular Surgery, Julius Maximilians University Würzburg, Wurzburg, Bavaria, Germany
,
Ivan Aleksic 
1   Department of Thoracic and Cardiovascular Surgery, Julius Maximilians University Würzburg, Wurzburg, Bavaria, Germany
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Abstract

Mechanical cardiopulmonary resuscitation (CPR) devices like Lund University Cardiopulmonary Assist System (LUCAS) cause more skeletal and visceral injuries than standard CPR. A 62-year-old woman with ST-elevation myocardial infarction was resuscitated with LUCAS and Impella CP for refractory cardiogenic shock during percutaneous coronary intervention. She suffered delayed ascending aortic rupture necessitating supracommissural ascending aortic replacement plus triple bypass grafting. Prolonged mechanical CPR with concomitant Impella may lead to aortic rupture. The combined use of LUCAS and Impella may have disastrous consequences.

Keywords

cardiac catheterization/intervention - circulatory assist devices - shock (systemic, cardiac or circulatory)


Publication History

Received: 05 April 2022

Accepted: 09 August 2022

Article published online:
09 November 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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