title: Successful use of the Impella Recover LP 5.0 device for circulatory support during off-pump coronary artery bypass grafting.
abstract: BACKGROUND
  Surgical coronary revascularization is being performed with ever increasing frequency in patients at high surgical risk. Off-pump coronary artery bypass grafting (OPCABG) is particularly appealing in such subjects, but may limit the options for concomitant mechanical circulatory support.
  
  
  METHODS
  We hereby report an original case of mechanical circulatory support with the Impella Recover LP 5.0 device during OPCABG in a 61-year-old gentleman with multiple comorbidities and severe left ventricular systolic dysfunction. Specifically, the soft tipped device did not impede surgical manipulation of the heart during the surgical procedure, providing uninterrupted circulatory support to the patient.
  
  
  CONCLUSIONS
  This clinical vignette supports the feasibility, safety and efficacy of the Impella Recover LP 5.0 device in patients undergoing OPCABG.
  
  
  CONCLUSIONS
  Pending further studies, use of the Impella Recover LP 5.0 device can be envisioned safely for OPCABG.
authors.affiliation: Unità Operativa di Cardiochirurgia, Presidio Ospedaliero Pineta Grande, Castel Volturno, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Pepino
authors.affiliation: Unità Operativa di Cardiochirurgia, Presidio Ospedaliero Pineta Grande, Castel Volturno, Italy.
authors.forename: Germano
authors.initials: G
authors.lastname: Coronella
authors.affiliation: Unità Operativa di Cardiochirurgia, Presidio Ospedaliero Pineta Grande, Castel Volturno, Italy.
authors.forename: Piermario
authors.initials: P
authors.lastname: Oliviero
authors.affiliation: Unità Operativa di Chirurgia Vascolare, Presidio Ospedaliero Pineta Grande, Castel Volturno, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Monaco
authors.affiliation: Unità Operativa di Cardiochirurgia, Presidio Ospedaliero Pineta Grande, Castel Volturno, Italy.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Schiavone
authors.affiliation: Unità Operativa di Cardiologia, Presidio Ospedaliero Pineta Grande, Castel Volturno, Italy; Unità Operativa di Interventistica Cardiovascolare, Presidio Ospedaliero Pineta Grande, Castel Volturno, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Finizio
authors.affiliation: Dipartimento di Scienze e Biotecnologie Medico-Chirurgiche, Sapienza Università di Roma, Latina, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Biondi-Zoccai
authors.affiliation: Dipartimento di Scienze e Biotecnologie Medico-Chirurgiche, Sapienza Università di Roma, Latina, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Frati
authors.affiliation: Unità Operativa di Interventistica Cardiovascolare, Presidio Ospedaliero Pineta Grande, Castel Volturno, Italy. Electronic address: arturogiordano@tin.it.
authors.forename: Arturo
authors.initials: A
authors.lastname: Giordano
keywords: Impella; Mechanical circulatory support; Off-pump coronary artery bypass grafting