title: Insertion of an Abiomed Impella® left ventricular assist device following bioprosthetic aortic valve placement.
abstract: BACKGROUND
  Post-cardiotomy cardiogenic shock is an infrequent devastating complication with few options for support.
  
  
  METHODS
  We present a case highlighting use of the Impella 5.0 (ABIOMED; Danvers, MA) for postcardiotomy cardiogenic shock after coronary artery bypass and bioprosthetic aortic valve replacement.
  
  
  RESULTS
  Support was maintained for 7 days before being successfully weaned with myocardial recovery and no damage to the bioprosthetic aortic valve.
  
  
  CONCLUSIONS
  This is the first published report of successful use of an Impella 5.0 (ABIOMED; Danvers, MA) for post-cardiotomy cardiogenic shock through a new implanted bioprosthetic aortic valve.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA.
authors.forename: Matthew P
authors.initials: MP
authors.lastname: Thomas
authors.forename: Ashley
authors.initials: A
authors.lastname: Altman
authors.forename: George J
authors.initials: GJ
authors.lastname: Magovern
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Moraca
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D001705:Bioprosthesis; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D015199:Extracorporeal Membrane Oxygenation; D017809:Fatal Outcome; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006353:Heart-Assist Devices; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000628:therapy*; D016896:Treatment Outcome