IMPELLA 5.0® による bridge to surgery で救命し得た急性僧帽弁閉鎖不全症の1例

森 佳織; 郷田 素彦; 澁谷 泰介; 富永 訓央; 町田 大輔; 磯松 幸尚; 鈴木 伸一; 益田 宗孝

doi:10.4326/jjcvs.48.392

[Acquired Cardiovascular Surgery]

A Successful Case of Bridge-to-Surgery Therapy with IMPELLA 5.0^® for Acute Mitral Regurgitation

Kaori Mori, Motohiko Goda, Taisuke Shibuya, Norihisa Tominaga, Daisuke Machida, Yukihisa Isomatsu, Shinichi Suzuki, Munetaka Masuda

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Keywords: IMPELLA, acute mitral regurgitation, pulmonary congestion

JOURNAL FREE ACCESS

2019 Volume 48 Issue 6 Pages 392-395

DOI https://doi.org/10.4326/jjcvs.48.392

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Abstract

A 76-year-old man with a complaint of dyspnea was diagnosed with acute severe mitral regurgitation due to ruptured chordae tendineae. For improvement of pulmonary congestion, we introduced IMPELLA 5.0^® and extra-corporeal membrane oxygenation before valve surgery. After two-days' IMPELLA 5.0^® support, mitral valve replacement surgery with a bioprosthetic valve was performed and IMPELLA 5.0^® was withdrawn. We report a successful case of a bridge to surgery using IMPELLA 5.0^® with mitral valve regurgitation accompanied by acute left heart failure with severe respiratory failure.

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