Case report shows successful hemodynamic stabilization using Impella 5.5 for cardiogenic shock, highlighting effective preoperative management.
Cardiogenic shock in the setting of a ruptured papillary muscle can be extremely challenging to manage. We report two cases of successful and safe hemodynamic optimization with a modern axial-flow temporary left ventricular assist device, the Impella 5.5, prior to mitral valve replacement for this indication.
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Rekhtman et al. (2025) studied this question.
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