Management of Impella device fracture during direct aortic explantation

W. Landon Jackson; Matthew J. Kepford; Shane S. Yamane; John F. Carabello; Kryston R. Boyer

doi:10.1093/jscr/rjac637

Management of Impella device fracture during direct aortic explantation

W. Landon Jackson, Matthew J. Kepford, Shane S. Yamane, John F. Carabello, Kryston R. Boyer

Internal Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

The utilisation of mechanical circulatory support devices in patients undergoing high-risk coronary artery bypass continues to increase. The Impella is a ventricular assist device commonly used in the setting of post-cardiotomy cardiogenic shock. This device can be implanted directly into the ascending aorta during open cardiac surgery. Device fracture is a documented complication of the Impella; however, the management of device fracture during direct explantation from an aortic graft has not yet been described. We report a case of Impella device fracture during its removal from a prosthetic aortic graft and discuss the management of this complication.

Original language	English
Article number	rjac637
Journal	Journal of Surgical Case Reports
Volume	2023
Issue number	1
DOIs	https://doi.org/10.1093/jscr/rjac637
State	Published - 1 Jan 2023

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10.1093/jscr/rjac637

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title = "Management of Impella device fracture during direct aortic explantation",

abstract = "The utilisation of mechanical circulatory support devices in patients undergoing high-risk coronary artery bypass continues to increase. The Impella is a ventricular assist device commonly used in the setting of post-cardiotomy cardiogenic shock. This device can be implanted directly into the ascending aorta during open cardiac surgery. Device fracture is a documented complication of the Impella; however, the management of device fracture during direct explantation from an aortic graft has not yet been described. We report a case of Impella device fracture during its removal from a prosthetic aortic graft and discuss the management of this complication.",

author = "Jackson, {W. Landon} and Kepford, {Matthew J.} and Yamane, {Shane S.} and Carabello, {John F.} and Boyer, {Kryston R.}",

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AB - The utilisation of mechanical circulatory support devices in patients undergoing high-risk coronary artery bypass continues to increase. The Impella is a ventricular assist device commonly used in the setting of post-cardiotomy cardiogenic shock. This device can be implanted directly into the ascending aorta during open cardiac surgery. Device fracture is a documented complication of the Impella; however, the management of device fracture during direct explantation from an aortic graft has not yet been described. We report a case of Impella device fracture during its removal from a prosthetic aortic graft and discuss the management of this complication.

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Management of Impella device fracture during direct aortic explantation

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