Impella-Supported Surgical Repair for Acute Phase Posterior Ventricular Septal Rupture.

A 72-year-old man was diagnosed with posterior ventricular septal rupture after acute myocardial infarction with dissection in the posterior wall of the ventricular septum. On admission, cardiogenic shock was identified, and an Impella CP was inserted to improve his hemodynamics. Extended sandwich patch repair through the right ventricle with a Dacron patch was successfully performed, achieving an excellent postoperative course with stable hemodynamics. Preoperative Impella introduction may be a useful strategy for ventricular septal rupture repair in the acute phase.