Key result
Sequential mechanical circulatory support escalating to RVAD rescues refractory post-pericardiectomy RV failure, recovering LVEF to ~40%.
Population
A 44-year-old male with chronic constrictive pericarditis and refractory RV failure after radical pericardiectomy
Design
Case report
Authors
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May support hybrid MCS sequencing in refractory post-pericardiectomy RV failure; leaves open optimal strategies for prospective validation.
Case Report (n=1)
Sequential and hybrid mechanical circulatory support strategies can successfully manage refractory acute right ventricular failure following radical pericardiectomy.
Uysal et al. (2026) conducted a case report in Refractory right ventricular failure following radical pericardiectomy (n=1). Sequential and hybrid mechanical circulatory support (Impella RP Flex, VA-ECMO, IABP, Centrimag RVAD) was evaluated. Sequential mechanical circulatory support, escalating to a Centrimag RVAD for 23 days, successfully managed refractory right ventricular failure post-pericardiectomy, with LVEF recovering to 35-40%.
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