Heart, Lung and Circulation
Volume 17, Issue 3 , Pages 243-245, June 2008

Left Ventricular Support with the Impella® LP 5.0 for Cardiogenic Shock Following Cardiac Surgery

  • Michael Rossiter-Thornton, BMedSc(Hons)

      Affiliations

    • Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia
    • ,
  • Viswanath Arun, DNB(CTVS)

      Affiliations

    • Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia
    • ,
  • A. Paul Forrest, FANZCA

      Affiliations

    • Department of Anaesthetics, Royal Prince Alfred Hospital, Sydney, Australia
    • ,
  • Matthew S. Bayfield, FRACS

      Affiliations

    • Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia
    • ,
  • Michael K. Wilson, FRACS

      Affiliations

    • Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia
    • Corresponding Author InformationCorresponding author at: Cardiothoracic Surgical Unit, Level 6, Building 75, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050, Australia. Tel.: +61 2 95156374; fax: +61 2 95156378.

Received 9 November 2007; received in revised form 30 January 2008; accepted 9 February 2008.

We report the first Australian use of the Impella® LP 5.0, a minimally invasive, high-output left ventricular assist device. The device was inserted intra-operatively for cardiac failure following coronary artery grafting. Although it facilitated a temporary post-operative recovery, the patient ultimately succumbed due to left ventricular failure more than 30 days after the original procedure. This device has several advantages over existing forms of left ventricular support, and has the potential for widespread use in Australian centres.

Keywords: Low cardiac output, Left ventricular dysfunction, Left ventricular assist device

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PII: S1443-9506(08)00035-8

doi:10.1016/j.hlc.2008.02.003

Heart, Lung and Circulation
Volume 17, Issue 3 , Pages 243-245, June 2008

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