title: Insertion of the Impella 5.0 left ventricular assist device via right anterior mini-thoracotomy: a novel practical approach.
abstract: 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.
authors.affiliation: Division of Cardiothoracic Surgery, UMDNJ/Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Choi
authors.forename: Mark B
authors.initials: MB
authors.lastname: Anderson
authors.forename: George P
authors.initials: GP
authors.lastname: Batsides