The good, the bad and the ugly

Image in interventional cardiovascular medicine: what is displayed on this image? ... And do not hesitate to comment on how you would treat this case!

A 65-year-old patient presented with atypical symptoms and ST-segment depression on stress ECG.Sudden in-hospital cardiac arrest with eCPR with veno-arterial ECLS and due to increased afterload from retrograde aortic flow and lack of left ventricular (LV) unloading (no pulsatility) --> LV distension --> start with pLVAD in ECMO-Combination for LV unloading (ECMELLA venting); no coronary artery disease (LV EF 25 %)

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Authors

Lauten Philipp¹, Laap Harald¹, GOEBEL Bjoern¹, EL GARHY Mo¹

1. Zentralklinik Bad Berka, Bad Berka, GERMANY