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Subclinical Aortic Insufficiency Causing Cardiogenic Shock Years After Impella Placement. Cureus 2023 Aug;15(8):e43699

Date

09/19/2023

Pubmed ID

37724224

Pubmed Central ID

PMC10505493

DOI

10.7759/cureus.43699

Abstract

A 28-year-old male with atrial fibrillation and thyrotoxicosis-induced heart failure underwent multiple interventions, including extracorporeal membrane oxygenation (ECMO), multiple valve repair/replacement, and Impella placement/removal. However, after a period of three years, the patient developed progressive aortic insufficiency (AI), which was attributed to damage caused by the prolonged use of the Impella device. The discussion highlights the importance of adhering to manufacturer guidelines for device use and emphasizes the need for careful examination during placement to minimize potential complications.

Author List

Syed A, Durham L, Melamed J, Pearson PJ

Author

Paul Joseph Pearson MD, PhD Chief, Professor in the Surgery department at Medical College of Wisconsin