The First Case of Impella RP Use in Acute Right Ventricular Failure From Air Embolism

Yaser Khalid; Neethi Dasu; Keith Brown; Kirti Dasu; Ibrahim Moussa; Robert Mohapatra

doi:10.1016/j.carrev.2020.06.027

The First Case of Impella RP Use in Acute Right Ventricular Failure From Air Embolism

Cardiovasc Revasc Med. 2020 Nov;21(11S):108-111. doi: 10.1016/j.carrev.2020.06.027. Epub 2020 Jul 1.

Authors

Yaser Khalid¹, Neethi Dasu², Keith Brown¹, Kirti Dasu³, Ibrahim Moussa⁴, Robert Mohapatra⁵

Affiliations

¹ Rowan School of Medicine, Jefferson Health System, Stratford, NJ, United States of America.
² Rowan School of Medicine, Jefferson Health System, Stratford, NJ, United States of America. Electronic address: dasu@rowan.edu.
³ Department of Biology, Syracuse University, Syracuse, NY, United States of America.
⁴ Department of Interventional Cardiology, Virtua Lourdes, Camden, NJ, United States of America.
⁵ Department of Cardiology, Virtua Lourdes, Camden, NJ, United States of America.

PMID: 32646716
DOI: 10.1016/j.carrev.2020.06.027

Abstract

Background: Air embolism can cause the following catastrophic complications that must be avoided: cardiogenic shock (from right heart failure), obstructive shock, myocardial infarction, stroke, RVOT obstructions, and pulmonary embolism. Currently there is a paucity of data on Impella RP use in rare causes of acute right ventricle (RV) failure, especially if caused by air embolism.

Case report: We report a case of a patient with acute RV failure due to air embolism who recovered from temporary use of Impella RP.

Discussion: This case highlights the utility of right-sided mechanical support (MCS) devices for acute RV failure.

Keywords: Air embolism; Cardiogenic shock; Impella RP; RV failure; Ventricular fibrillation.

Publication types

Case Reports

MeSH terms

Embolism, Air*
Heart Failure*
Heart-Assist Devices
Humans
Shock, Cardiogenic
Treatment Outcome