Combined veno-venous ECMO and direct aortic impella 5.5 support enabling emergency mitral valve replacement in acute severe mitral regurgitation with fulminant pulmonary edema.

J Artif OrgansSep 22, 2026 (epub)
Case ReportCardiologyCardiothoracic SurgeryOpen access

Ryoji Kinoshita, Taiju Watanabe, Kazuya Okaguchi et al.

✦ AI-curated · Sources linked

Case in brief

A 61-year-old man presented with acute severe mitral regurgitation and extreme respiratory failure, requiring emergency mitral valve replacement. Due to severe pulmonary edema and post-cardiotomy shock, he received combined veno-venous ECMO and Impella 5.5 support. This approach stabilized his circulatory and respiratory functions, allowing for recovery and eventual discharge without neurological sequelae.

Diagnostic / clinical pearl

This case highlights the potential of combined veno-venous ECMO and Impella support in managing patients with severe respiratory and circulatory failure during cardiac surgery.

Source

PubMed · PMID 42771226Free full text on PubMed Central

Published in J Artif Organs. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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