The First Case of Impella RP Use in Acute Right Ventricular Failure From Air Embolism.

Background: Air embolism can cause the following catastrophic complications that must be avoided: cardiogenic shock (from right heart failure), obstructive shock, myocardial infarction, stroke, RVOT obstructions, and pulmonary embolism. Currently there is a paucity of data on Impella RP use in rare causes of acute right ventricle (RV) failure, especially if caused by air embolism. Case report: We report a case of a patient with acute RV failure due to air embolism who recovered from temporary use of Impella RP. Discussion: This case highlights the utility of right-sided mechanical support (MCS) devices for acute RV failure.