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Case Reports

Impella Used for Hemostasis by Left Ventricular Unloading, in a Case With Left Ventricular Posterior Wall Rupture

Department of Cardiovascular Surgery and Anesthesia, Heart Center, University Hospital, Linköping, Sweden

Accepted for publication October 23, 2007.

^_* Address correspondence to Dr Dahlin, Department of Cardiovascular Surgery and Anesthesia, Heart Center, University Hospital, Linköping, S-581 85, Sweden (Email: lars.goran.dahlin{at}lio.se).

Left ventricle wall rupture is a feared complication in mitral valve surgery. We report a combined mitral valve anuloplasty and coronary artery bypass grafting procedure with severe, life-threatening bleeding complication due to left ventricular posterior wall rupture. The patient was successfully treated with a temporary left ventricular assist device to decompress the left ventricle in an attempt to minimize the bleeding, as the patient’s condition did not allow standard repair of the left ventricle.