Endocardial Injury During Ventricular Assistance with an Intracardiac
Microaxial Pump
The Open Cardiovascular and Thoracic Surgery Journal,
2009, 2: 6-9
Angel L. Fernández, Amparo Martínez, Julian Alvarez, José B. García-Bengochea, Jerónimo Forteza, José R. González-JuanateyDivision of Cardiac Surgery,
University Hospital, Department of Surgery, University of Santiago de
Compostela, Ave. Choupana, s/n. 15706 Santiago de Compostela, Spain.
Electronic publication date 28/1/2009
[
DOI: 10.2174/1876533500902010006]
Abstract:
We report the case of a patient unweanable from cardiopulmonary bypass who underwent transaortic implantation
of an Impella Recover LD blood pump. The ventricular assistance afforded an adequate flow but the patient died 48
hours after due to severe ischemia of the lower limbs. Chronic atherosclerotic occlusion of the abdominal aorta could be
observed during the necropsy study as well as a subendocardial hematoma of the left ventricular wall. Some aspects concerning
the pathologic finding observed in the heart are discussed.
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