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Hemodynamic Support During High Risk Balloon Aortic Valvuloplasty, The Role of Impella 2.5

A case demonstration of a 70+ year old patient with a history of previous extensive inferior infarct and Bypass surgery presented with severe and progressive Class IV Dyspena and fatigue, impaired ventricular function with an ejection fraction of 20% with known severe aortic stenosis. The patient underwent BAV. Often rapid pacing during Balloon Valvuloplasty can cause electrical abnormalities and hemodynamic compromise in patients. Use of Impella 2.5 during the Balloon Valvuloplasty allowed for a smooth and less complicated course of treatment.

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