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Fig. 1 | BMC Cardiovascular Disorders

Fig. 1

From: Cardiogenic shock with highly complicated course after influenza A virus infection treated with vva-ECMO and Impella CP (ECMELLA): a case report

Fig. 1

Aspects of ECMELLA treatment. a Fluoroscopy of the Impella CP implanted in the left ventricle (red arrow), and the venous cannula of the ECMO implanted in the inferior vena cava and in the right atrium (yellow asterisk). b TTE showing the severely hypokinetic left ventricle with the implanted Impella CP (red arrow) immediately after completion of the ECMELLA concept. Please note the non-compressing circular pericardial effusion (PE; yellow arrows). c TTE showing the risen LVEF (ca. 40%) 2 days after the initiation of ECMELLA. Please note the Impella CP in the LV (red arrow). d 2D echocardiography showing recovery of LVEF (68%) and LV dimensions after severe cardiogenic shock treated with ECMELLA. No residual PE is discernible

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