Open Access
CC BY 4.0 · Thorac Cardiovasc Surg Rep 2025; 14(01): e14-e16
DOI: 10.1055/a-2603-9367
Case Report: Cardiac

Impella 5.5 for Preoperative Optimization in the Setting of Ruptured Papillary Muscle

1   Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Amit Iyengar
1   Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Jason Han
1   Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Rohan Shad
1   Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Marisa Cevasco
1   Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Wilson Szeto
1   Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Michael Ibrahim
1   Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States
› Author Affiliations
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Abstract

Cardiogenic shock in the setting of a ruptured papillary muscle can be extremely challenging to manage. We report two cases of successful and safe hemodynamic optimization with a modern axial-flow temporary left ventricular assist device, the Impella 5.5, prior to mitral valve replacement for this indication.



Publication History

Received: 23 July 2024

Accepted: 18 February 2025

Article published online:
30 May 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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