Thrombosis of the innominate artery during prolonged cardiac support by right transaxillary Impella 5.0 device
| Autor: | Claudio Russo, Aldo Cannata, Massimiliano Carrozzini, Giuseppe Tata |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
mechanical circulatory support lcsh:R5-920 business.industry Arterial thrombosis heart failure thromboembolism medicine.disease Cardiac support Thrombosis sepsis medicine.anatomical_structure Internal medicine Cardiology medicine business lcsh:Medicine (General) Impella Artery |
| Zdroj: | Emergency Care Journal, Vol 17, Iss 1 (2021) |
| ISSN: | 2282-2054 1826-9826 |
| Popis: | We describe an unexpected complication in a 46-years-old man affected by ischemic cardiomyopathy who received a prolonged mechanical cardiac support by means of right transaxillary Impella 5.0. The postoperative course was complicated by recurrent septicemia from multi-durg resistant Acinetobacter baumanii. He underwent implantation of venoarterial extracorporeal membrane oxygenation because of refractory cardiac arrest, followed by Impella removal that has been complicated by embolic stroke. The likely source of the embolus was a large thrombus inside the innominate artery. After a long-standing right transaxillary device implantation, particularly in patients with intercurrent septic episodes, a CT angiographic scan should be planned to exclude arterial thrombosis before removal of the transarterial device. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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