The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Coronary interventions – Mini focus on out-of-hospital cardiac arrest and cardiogenic shock

Entrapment of the Impella heart pump in the mitral subvalvular apparatus

EuroIntervention 2021;16:e1262-e1263. DOI: 10.4244/EIJ-D-19-00942

1. Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, USA




Figure 1. Impella entrapment in the mitral subvalvular apparatus in a patient with acute myocardial infarction and cardiogenic shock. A) - C) Coronary angiography. D) Cinefluoroscopy of the Impella in situ. E) TTE (parasternal long-axis view) - Impella abutting mitral valve (arrow). F) TEE showing flail P3 scallop (arrow). G) Colour TEE showing severe eccentric MR. H) 3D-TEE showing flail A3/P3 scallops. I) Ruptured chordae tendineae.

A 47-year-old man presented with witnessed out-of-hospital cardiac arrest at his wedding and anterior ST-elevation myocardial infarction. Initial blood pressure was 90/60 mmHg with pulse of 115 beats/minute. Coronary angiography showed 100% thrombotic ...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Read next article
Tricuspid valve repair with the Cardioband system: two-year outcomes of the multicentre, prospective TRI-REPAIR study