A Case in Which a Huge Defect at the Puncture Site During Impella Removal Required Patch Formation

Key Points

• The aim is to document an unexpected massive defect at the puncture site during Impella device removal and the surgical response.
• Case report of a 33-year-old male with idiopathic cardiomyopathy
• Impella CP device insertion followed by removal
• Puncture site complication management through patch formation instead of conventional suturing
• Massive defect observed at the vascular puncture site after Impella removal
• Initial plan of hemostasis using sutures was altered due to severity
• Successful application of a patch to ensure sealing of the defect