We report two cases of Impella-assisted coronary artery bypass grafting for acute myocardial infarction with cardiogenic shock. The first case involved coronary artery bypass grafting and mitral valve replacement, and the second involved off-pump coronary artery bypass grafting. Emergent Impella-assisted coronary artery bypass grafting was successfully performed in both cases. Our findings highlight the ability of Impella percutaneous left ventricular assist device to provide excellent hemodynamic support during the entire perioperative period.
LautenAEngströmAEJungC, et al.
Percutaneous left-ventricular support with the Impella-2.5–assist device in acute cardiogenic shock. Results of the Impella-EUROSHOCK-Registry.Circ Heart Fail2013;
6: 23–30.
2.
KapurNKAlkhouliMADeMartiniTJ, et al.
Unloading the left ventricle before reperfusion in patients with anterior ST-segment-elevation myocardial infarction.Circulation2019;
139: 337–346.
3.
AlushiBDouedariAFroehligG, et al.
Impella versus IABP in acute myocardial infarction complicated by cardiogenic shock.Open Heart2019;
6: e000987.
