Use of Impella RP for Acute Right Ventricular Failure Post-Pericardiectomy

Surgical pericardiectomy is the accepted treatment for patients with constrictive pericarditis. Right ventricular failure in patients that undergo pericardiectomy is a frequent complication due to sudden volume overload. Impella RP is used to bypass the right ventricle and tackle the transient right...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine 2021-07, Vol.28, p.176-179
Main Authors: Monteagudo-Vela, María, Farmidi, Abu, Panoulas, Vasileios, Bhudia, Sunil K.
Format: Article
Language:English
Subjects:
Impella RP
Pericardiectomy
Right ventricular failure
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Summary:Surgical pericardiectomy is the accepted treatment for patients with constrictive pericarditis. Right ventricular failure in patients that undergo pericardiectomy is a frequent complication due to sudden volume overload. Impella RP is used to bypass the right ventricle and tackle the transient right ventricular failure. It is implanted percutaneously and provides enough support to achieve haemodynamical stability and recover end-organ function. We report the case of a patient that developed acute right ventricular failure in the early postoperative period of a pericardiectomy. He underwent the implantation of an Impella RP in the setting of acute right ventricular failure and was successfully explanted after 6 days of support. •Impella RP is a minimally invasive and easy to implant percutaneous device for RV support.•Provides enough haemodynamical stability and improvement of end-organ function.•Impella RP can be successfully used to overcome acute RV failure post pericardiectomy.
ISSN:1553-8389
1878-0938
DOI:10.1016/j.carrev.2021.02.016