Combined VA-ECMO and Impella-CP may serve as a viable bridge to definitive surgery for patients with cardiogenic shock secondary to papillary muscle rupture complicating acute myocardial infarction.
Papillary muscle rupture (PMR) is a catastrophic complication of acute myocardial infarction (AMI). We report on 3 consecutive patients with AMI cardiogenic shock due to PMR, treated with combined venoarterial extracorporeal membrane oxygenation and Impella-CP axial flow circulatory support as a bridge to definitive surgery. (Level of Difficulty: Intermediate.)
Ekanem et al. (Wed,) studied this question.
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