March 3, 2026Open Access

Left ventricular perforation following impella® CP placement in a resuscitated STEMI patient with cardiogenic shock: a rare complication and case report

Key Points

Left ventricular perforation occurred due to profound myocardial fragility in a STEMI patient, indicating serious risk.
Key metrics include significant procedural vigilance required in critically ill patients with mechanical circulatory support needs.
The observational analysis of the case emphasizes the importance of multidisciplinary management in addressing complications.
The findings highlight the necessity for heightened awareness of perforation risks in similar patient populations during procedures.

Abstract

This case demonstrates that profound myocardial fragility following resuscitated STEMI may be a critical co-factor for Impella-related perforation, underscoring the necessity for extreme procedural vigilance and timely, multidisciplinary management in patients requiring mechanical circulatory support.

Left ventricular perforation following impella® CP placement in a resuscitated STEMI patient with cardiogenic shock: a rare complication and case report

Key Points

Abstract

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