Cardiac tamponade on ECPELLA: a case report of a unique hemodynamic picture

Authors

Naveed Akhtar, Indiana University, IndianapolisFollow
Parth Savsani, Indiana University, IndianapolisFollow
Maya Guglin, Indiana University, IndianapolisFollow
Roopa Rao, Indiana University, IndianapolisFollow

Document Type

Case Report

Abstract

Extracorporeal membrane oxygenation is rapidly becoming a preferred therapy for short-term hemodynamic support in cardiogenic shock, along with the use of devices such as Impella (Abiomed, Andover, MA). The two together can create unique hemodynamics resulting in altered presentation of common hemodynamic conditions such as tamponade. We present a case of a patient with fulminant myocarditis requiring veno-arterial extracorporeal membrane oxygenation and Impella support. The patient later developed a pericardial effusion with atypical tamponade physiology which masked the left ventricular systolic function recovery. We further highlight the complex hemodynamics of cardiac tamponade in patients with such mechanical circulatory support and its implications on echocardiography.

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Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

Recommended Citation

Akhtar, Naveed; Savsani, Parth; Guglin, Maya; and Rao, Roopa (2021) "Cardiac tamponade on ECPELLA: a case report of a unique hemodynamic picture," The VAD Journal: Vol. 7(1) :e2021719 DOI: https://doi.org/10.11589/vad/e2021719

Available at: https://digitalcommons.library.tmc.edu/vad/vol7/iss1/8

First Page

e2021719