Aortic valve replacement after iatrogenic injury related to an Impella device. (June 2021)

• Record Type: Journal Article
• Authors: Saitoh, Daiki; Kin, Hajime
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 29:Number 5(2021)
• Page Start: 420
• Page End: 423
• Publication Date: 2021-06
• Subjects: Aortic valve -- aortic valve insufficiency -- heart-assist devices -- iatrogenic disease -- myocardial infarction; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492320980942
• Languages: English
• ISSNs: 0218-4923

Abstract

The Impella device is used routinely during coronary interventions, and device-related iatrogenic injury requiring surgical repair is rarely reported. We report a case of iatrogenic aortic valve injury due to Impella device insertion, necessitating aortic valve replacement surgery. A 55-year-old woman with acute anteroseptal myocardial infarction underwent a successful percutaneous coronary intervention and Impella insertion for hemodynamic support. Four months later, she experienced congestive heart failure; transthoracic echocardiography revealed new-onset severe aortic insufficiency. Aortic valve replacement was performed without complications. Follow-up transthoracic echocardiography should be performed after Impella removal to avoid delay in treating residual aortic insufficiency.