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ASAIO Journal· 2026Q2· Case report

Chorda Tendinea Obstruction of Impella Causing Massive Hemolysis Detected by Methemoglobinemia: A Case Report

A. Schmidt, Rolf Erlebach, Pascal Locher, Peter Dietrich et al.

Short summary

A filamentous chorda tendinea obstructed an Impella CP pump, causing massive hemolysis (hemoglobin drop from 9.2 to 4.6 g/dl) and severe methemoglobinemia (peaking at 10.2%), a complication detected via routine blood gas analysis.

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Cell BiologyBiochemistry, Genetics and Molecular Biology