The Impella 5.0 microaxial pump is a miniaturized left ventricular assist device commonly used for circulatory support in acute cardiogenic shock. The catheter-based pump is designed to be inserted either into a peripheral artery or directly into the ascending aorta. We report the first case in which the Impella 5.0 device was placed directly into the ascending aorta via a small right anterior thoracotomy in a patient following acute myocardial infarction complicated by cardiogenic shock.
From the Division of Cardiothoracic Surgery, UMDNJ/Robert Wood Johnson Medical School, New Brunswick, NJ USA.
Accepted for publication June 27, 2011.
Disclosure: George P. Batsides, MD, and Mark B. Anderson, MD, have a consulting agreement with Abiomed, Inc., Danvers, MA USA; Daniel C. Choi, MD, declares no conflict of interest.
Address correspondence and reprint requests to Mark B. Anderson, MD, Division of Cardiothoracic Surgery, UMDNJ/Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, MEB-500B, New Brunswick, NJ 08903 USA. E-mail: firstname.lastname@example.org.