Post-Myocardial Infarction Ventricular Septal Defect Successfully Treated with Impella as Bridge to Cardiac Transplantation

Table 1

Haemodynamics and biochemistry pre versus post-Impella insertion demonstrating rapid improvement without increase in right-to-left shunting or right heart pressures.

Variable	Baseline (on IABP)	<6-hours post-Impella	24-hours post-Impella
CVP	20	10	12
PCWP	21	23	23
PASP	45	49	42
CI	3.3	2.8	3.5
SvO2	43	84	76
Lactate	1.1	1.1	0.8
Creatinine	172	200	99

IABP: intra-aortic balloon pump; CVP: central venous pressure; PCWP: pulmonary capillary wedge pressure; PASP: pulmonary artery systolic pressure: CI: cardiac index; SvO2: oxygen saturation in venous blood.