Edge‐to‐edge mitral repair for iatrogenic chordal rupture related to Impella 5.0. Issue 7 (14th April 2021)

• Record Type: Journal Article
• Authors: Kitahara, Hiroto; Najjar, Samer; Ahmed, Sara; Lam, Phillip; Kadakkal, Ajay; Rodrigo, Maria; Hofmeyer, Mark; Sheikh, Farooq; Molina, Ezequiel
• Is Part Of: Journal of cardiac surgery. Volume 36:Issue 7(2021)
• Page Start: 2541
• Page End: 2542
• Publication Date: 2021-04-14
• Subjects: chordal rupture -- edge‐to‐edge repair -- Impella 5.0 -- left ventricular assist device; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.15517
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Iatrogenic chordal rupture with severe mitral regurgitation is a rare but serious complication associated with the use of Impella device. We present a case of a 47‐year‐old man with ischemic cardiomyopathy who required insertion of an Impella 5.0 device. During Impella support, he developed acute pulmonary edema secondary to newly diagnosed posterior mitral valve chordal rupture and subsequent severe mitral regurgitation. He underwent implantation of a durable left ventricular assist device with concomitant edge‐to‐edge mitral valve repair through the apex.