Evidence map›Paper›PMID 42132719›Full record

ArticleJACC. Case reports2026

Successful Sealing of Steam Pop-Related Left Ventricular Summit Perforation With Partial Impella Support.

Hiroyuki Miyazawa, Yasuya Inden, Masafumi Shimojo, Satoshi Yanagisawa, Shingo Kazama, Toru Kondo, Ryota Morimoto, Tomo Yoshizumi, Masato Mutsuga, Toyoaki Murohara

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hiroyuki MiyazawaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Yasuya IndenDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan. Electronic address: inden@med.nagoya-u.ac.jp.
Masafumi ShimojoDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Satoshi YanagisawaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Shingo KazamaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Toru KondoDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Ryota MorimotoDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Tomo YoshizumiDepartment of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Masato MutsugaDepartment of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Toyoaki MuroharaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImpella is effective for left ventricular (LV) rupture after myocardial infarction. However, its role in managing LV perforation during catheter ablation in structurally normal hearts, particularly at the LV summit, remains unclear. CASE SUMMARY: A 69-year-old woman developed LV perforation due to a steam pop during ablation for premature ventricular contractions. After emergency surgery, the pseudoaneurysm persisted despite intra-aortic balloon pump (IABP) support and multifactorial management. The IABP was then replaced with Impella CP, and the pseudoaneurysm later closed spontaneously. The patient recovered without sequelae. DISCUSSION: LV summit perforation caused by steam pops is challenging to manage because of the anatomical complexity and tissue fragility. Although the favorable outcome was likely multifactorial, Impella support may still have contributed to the overall management strategy despite the small, nondilated LV and support being limited to performance level 2 (P2). TAKE-HOME MESSAGE: Pseudoaneurysm after LV perforation may be managed with multifactorial therapy, including partial Impella support.

Indexed as

ablationcomplicationcomputed tomographyleft ventricle

Identifiers

PMID42132719
PMCPMC13309715

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.