Key result
Escalating Impella CP to 5.5 successfully bridges a STEMI patient with shock to VSD repair.
Why the study?
Silent MI frequently presents without chest pain, risking delayed diagnosis and mechanical complications like post-infarct VSD and LV thrombus that carry high mortality.
Population
A 67-year-old man with diabetes, hypertension, anterior STEMI, cardiogenic shock, VSD, and LV thrombus
Design
Case report
Authors
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Multidisciplinary management of post-MI VSD with LV thrombus in shock may improve survival; leaves open optimal timing for intervention.
Case Report (n=1)
Prolonged and escalated Impella support can serve as an effective bridge to surgical repair for post-MI VSD complicated by cardiogenic shock and LV thrombus.
Alnabulsi et al. (2026) conducted a case report in STEMI complicated by cardiogenic shock, VSD, and LV thrombus (n=1). Impella CP and Impella 5.5 was evaluated on Bridge to definitive surgical repair and stabilization. Prolonged off-label Impella CP use and escalation to Impella 5.5 effectively bridged a patient with STEMI, cardiogenic shock, VSD, and LV thrombus to successful surgical repair.
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