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Insertion of the Impella 5.0 Left Ventricular Assist Device Via Right Anterior Mini-Thoracotomy: A Novel Practical Approach

Choi, Daniel C. MD; Anderson, Mark B. MD; Batsides, George P. MD

Innovations: Technology & Techniques in Cardiothoracic & Vascular Surgery: July/August 2011 - Volume 6 - Issue 4 - pp 265-266
doi: 10.1097/IMI.0b013e31822b36b8
Case Report

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: andersm2@umdnj.edu.

©2011 by the International Society for Minimally Invasive Cardiothoracic Surgery