Rotablation of Heavily Calcified Left Main Stenosis and Aortic Valve Valvuloplasty Under ECMO Cardiopulmonary Support

Issameddine Ajmi; Christian Mahnkopf; Johannes Brachmann; Muhamet Sinani; Mahmoud Oudeh; Steffen Schnupp

doi:10.1016/j.jaccas.2020.10.015

Rotablation of Heavily Calcified Left Main Stenosis and Aortic Valve Valvuloplasty Under ECMO Cardiopulmonary Support

JACC Case Rep. 2020 Nov 25;2(15):2448-2454. doi: 10.1016/j.jaccas.2020.10.015. eCollection 2020 Dec.

Authors

Issameddine Ajmi¹, Christian Mahnkopf¹, Johannes Brachmann¹, Muhamet Sinani¹, Mahmoud Oudeh¹, Steffen Schnupp¹

Affiliation

¹ Department of Cardiology and Intensive Care Medicine, Medical Clinic II, Coburg Clinic, Coburg, Germany.

Abstract

High-risk coronary intervention involving the left main coronary artery represents an indication for mechanical circulatory support in hemodynamically unstable patients. Extracorporeal membrane oxygenation permits adequate hemodynamic stabilization and myocardial recovery from life-threatening pulmonary and cardiac failure. Our case report demonstrates the importance of choosing the correct method of hemodynamic support in different case scenarios. (Level of Difficulty: Advanced.).

Keywords: ECMO, extracorporeal membrane oxygenation; HCCL, heavily calcified coronary lesion; IABP, intra-aortic balloon pump; LAD, left anterior descending coronary artery; LMCA, left main coronary artery; PCI, percutaneous coronary intervention; RCA, right coronary artery; RIM, ramus intermedius; TAVI, transcatheter aortic valve implantation; aortic valve stenosis; extracorporeal membrane oxygenation; heavily calcified coronary lesions; left main coronary artery; percutaneous coronary intervention; rotational atherectomy.

Publication types

Case Reports