A Successful Case of Bridge-to-Surgery Therapy with IMPELLA 5.0●R for Acute Mitral Regurgitation

Kaori Mori＊	Motohiko Goda＊	Taisuke Shibuya＊
Norihisa Tominaga＊	Daisuke Machida＊	Yukihisa Isomatsu＊
Shinichi Suzuki＊	Munetaka Masuda＊

（Department of Cardiovascular Surgery, Yokohama City University Hospital＊, Yokohama, Japan）

A 76-year-old man with a complaint of dyspnea was diagnosed with acute severe mitral regurgitation due to ruptured chordae tendineae. For improvement of pulmonary congestion, we introduced IMPELLA 5.0●R and extra-corporeal membrane oxygenation before valve surgery. After two-days’ IMPELLA 5.0●R support, mitral valve replacement surgery with a bioprosthetic valve was performed and IMPELLA 5.0●R was withdrawn. We report a successful case of a bridge to surgery using IMPELLA 5.0●R with mitral valve regurgitation accompanied by acute left heart failure with severe respiratory failure.
　　

Jpn. J. Cardiovasc. Surg. 48:392-395（2019）

Keywords：IMPELLA;acute mitral regurgitation;pulmonary congestion