A Visual Depiction of Left Ventricular Unloading in Veno-Arterial ExtraCorporeal Membrane Oxygenation With Impella
Ya'Qoub L, Lemor A, Basir MB, Alqarqaz M, and Villablanca P. A Visual Depiction of Left Ventricular Unloading in Veno-Arterial ExtraCorporeal Membrane Oxygenation With Impella. J Invasive Cardiol 2022; 34(11):E825.
The Journal of invasive cardiology
Left ventricular (LV) unloading has been associated with improved survival in patients treated with venoarterial extracorporeal membrane oxygenation. This case describes a patient with a COVID-19 infection who subsequently developed non-ischemic cardiomyopathy with an LV ejection fraction of 10% to 15% (baseline echocardiography). He did poorly in the outpatient setting and was admitted to an outside hospital with heart failure symptoms and was subsequently transferred to our hospital for escalation of care and consideration of advanced heart failure therapies. This clinical image and related video series help to visually demonstrate the effect of LV unloading in a 30-year-old male with a history of COVID-19 myocarditis.
Medical Subject Headings
Male; Humans; Adult; Extracorporeal Membrane Oxygenation; COVID-19; Heart Ventricles; Ventricular Function, Left; Heart Failure; Heart-Assist Devices; Shock, Cardiogenic