{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T14:58:17Z","timestamp":1781362697027,"version":"3.54.1"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T00:00:00Z","timestamp":1730851200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T00:00:00Z","timestamp":1730851200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The perioperative use of the Impella 5.5 has been increasing recently; however, the left ventricular perforation by this device during surgery has not been reported to date.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>Postinfarction ventricular septal rupture in a 75-year-old man was successfully repaired with support of a single Impella 5.5 device used for consecutive 28 days perioperatively. The patient underwent surgery after 16 days of Impella support. During surgery, the Impella was left in place expecting its use for left ventricular unloading after the operation. After aortic cross-clamp, when the apex was carefully lifted, the tip of the Impella almost protruded from the posterior wall, and could be seen through the epicardium. The aorta was unclamped briefly, the Impella was pulled out several centimeters, and the aorta was cross-clamped again. The ventricular septal rupture was repaired by the double-layer patch technique via the right ventricle. Immediately before the chest closure, the free wall of the LV ruptured and blood rapidly flowed out. It was where the Impella almost protruded during cardiac arrest, and was repaired with a pledgeted monofilament mattress suture.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>A single device can be used throughout perioperative periods; however, if used during surgery, possible risk of left ventricular perforation should be well recognized since the device has no soft pigtail part at its end, and its stiff tip can directly contact the decompressed, flaccid ventricular wall during cardiac arrest.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43044-024-00579-y","type":"journal-article","created":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:02:21Z","timestamp":1730869341000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Left ventricular perforation by Impella 5.5 during surgery for postinfarction ventricular septal rupture"],"prefix":"10.1186","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3792-1615","authenticated-orcid":false,"given":"Hisato","family":"Ito","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saki","family":"Bessho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Shomura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keishi","family":"Moriwaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaoru","family":"dohi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoshi","family":"Takao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,6]]},"reference":[{"key":"579_CR1","doi-asserted-by":"publisher","first-page":"2060","DOI":"10.1093\/eurheartj\/ehu248","volume":"35","author":"BM Jones","year":"2014","unstructured":"Jones BM, Kapadia SR, Smedira NG, Robich M, Tuzcu EM, Menon V, Krishnaswamy A (2014) Ventricular septal rupture complicating acute myocardial infarction: a contemporary review. Eur Heart J 35:2060\u20132068","journal-title":"Eur Heart J"},{"issue":"5","key":"579_CR2","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1016\/j.jjcc.2022.12.001","volume":"81","author":"I Shibasaki","year":"2023","unstructured":"Shibasaki I, Otani N, Saito S, Ogawa H, Masawa T, Tsuchiya G, Takei Y, Tezuka M, Kanazawa Y, Kanno Y, Yokoyama S, Hirota S, Niitsuma K, Matsuoka T, Konishi T et al (2023) Overview of mechanical circulatory support for the management of post-myocardial infarction ventricular septal rupture. J Cardiol 81(5):491\u2013497","journal-title":"J Cardiol"},{"issue":"2","key":"579_CR3","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1016\/j.ijcard.2009.03.042","volume":"144","author":"F Patane","year":"2010","unstructured":"Patane F, Grassi R, Zucchetti MC, Ceresa F, Amata AD, Zingarelli E, Sansone F, Marte F, Patane S (2010) The use of Impella recover in the treatment of post-infarction ventricular septal defect: a new case report. Int J Cardiol 144(2):313\u2013315","journal-title":"Int J Cardiol"},{"key":"579_CR4","first-page":"42","volume":"38","author":"MW La Torre","year":"2011","unstructured":"La Torre MW, Centofanti P, Attisani M, Patane F, Rinaldi M (2011) Posterior ventricular septal defect in presence of cardiogenic shock: early implantation of the impella recover LP 5.0 as a bridge to surgery. Tex Heart Inst J 38:42\u201349","journal-title":"Tex Heart Inst J"},{"key":"579_CR5","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1007\/s12928-016-0428-7","volume":"32","author":"MB Ancona","year":"2017","unstructured":"Ancona MB, Regazzoli D, Mangieri A, Monaco F, De Bonis M, Latib A (2017) Post-infarct ventricular septal rupture: early Impella implantation to delay surgery and reduce surgical risk. Cardiovasc Interv Ther 32:381\u2013385","journal-title":"Cardiovasc Interv Ther"},{"key":"579_CR6","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1111\/aor.13434","volume":"43","author":"M Iida","year":"2019","unstructured":"Iida M, Uchiyama M, Shimokawa T (2019) A successful case of percutaneous left ventricular assist device \u201cImpella\u201d to postmyocardial infarction ventricular septal perforation in Japan. Artif Organs 43:806\u2013807","journal-title":"Artif Organs"},{"key":"579_CR7","doi-asserted-by":"publisher","first-page":"708","DOI":"10.1002\/ehf2.12622","volume":"7","author":"G Via","year":"2020","unstructured":"Via G, Buson S, Tavazzi G, Halasz G, Quagliana A, Moccetti M, Demertzis S, Cassina T (2020) Early cardiac unloading with Impella CPTM in acute myocardial infarction with ventricular septal defect. ESC Heart Fail 7:708\u2013713","journal-title":"ESC Heart Fail"},{"key":"579_CR8","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1007\/s10047-020-01163-2","volume":"23","author":"M Nakamura","year":"2020","unstructured":"Nakamura M, Imamura T, Fukui T, Ueno Y, Ueno H, Yokoyama S, Doi T, Fukahara K, Kinugawa K (2020) Impella support as a bridge to scheduled surgical repair of ventricular septal rupture. J Artif Organs 23:278\u2013282","journal-title":"J Artif Organs"},{"key":"579_CR9","doi-asserted-by":"publisher","first-page":"e161","DOI":"10.1016\/j.athoracsur.2020.12.044","volume":"112","author":"JA Cohen","year":"2021","unstructured":"Cohen JA, Montgomery RA, Zmaili MA, Rampersad P, Menon V, Tong MZ, Soltesz EG, Weiss AJ (2021) Post-myocardial infarction ventricular septal rupture bridged to heartmate 3 with an Impella 5.5. Ann Thorac Surg 112:e161-163","journal-title":"Ann Thorac Surg"},{"key":"579_CR10","doi-asserted-by":"publisher","first-page":"611","DOI":"10.3390\/medicina58050611","volume":"58","author":"G Coyan","year":"2022","unstructured":"Coyan G, Anand N, Imran M, Gomez H, Ramanan R, Murray H, Sanon S, Yoon P, Kaczorowski D, Bonatti J (2022) ECMO and impella support strategies as a bridge to surgical repair of post-infarction ventricular septal rupture. Medicina 58:611","journal-title":"Medicina"},{"issue":"3","key":"579_CR11","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1007\/s10047-022-01365-w","volume":"26","author":"K Takagi","year":"2023","unstructured":"Takagi K, Shojima T, Kono T, Kikusaki S, Homma T, Shibata T, Otsuka M, Fukumoto Y, Tayama E (2023) ECPELLA as the bridge to surgery in patients with cardiogenic shock due to post-infarct papillary muscle rupture: management of mechanical circulatory support during operation. J Artif Organs 26(3):237\u2013241","journal-title":"J Artif Organs"},{"key":"579_CR12","doi-asserted-by":"publisher","DOI":"10.1177\/15569845241266527","author":"CA Valdes","year":"2024","unstructured":"Valdes CA, Bilgili A, Reddy A, Sharaf O, Jimenez-Contreras F, Stinson G, Ahmed M, Vilaro J, Parker AM, Az Al-Ani M, Demos D, Aranda J, Bleiweis M, Beaver TM, Jeng EI (2024) Impella 5.5: a systemic review of the current literature. Innovations (Phila). https:\/\/doi.org\/10.1177\/15569845241266527","journal-title":"Innovations (Phila)"}],"container-title":["The Egyptian Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-024-00579-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s43044-024-00579-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-024-00579-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:04:45Z","timestamp":1730869485000},"score":1,"resource":{"primary":{"URL":"https:\/\/tehj.springeropen.com\/articles\/10.1186\/s43044-024-00579-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,6]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["579"],"URL":"https:\/\/doi.org\/10.1186\/s43044-024-00579-y","relation":{},"ISSN":["2090-911X"],"issn-type":[{"value":"2090-911X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,6]]},"assertion":[{"value":"21 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"147"}}