Impella insertion for residual aortic dissection

Abstract

Acute aortic dissection with coronary malperfusion is a life-threatening disease, resulting in demanding postoperative management. We report a successful insertion of percutaneous heart pump Impella through the intact true lumen in a patient with residual aortic dissection after the graft replacement. Careful evaluation of the access site and the Impella size selection is required.

Keywords: Impella; aortic dissection; post‐cardiotomy cardiogenic shock.