Successful use of the Impella Recover LP 5.0 device for circulatory support during off-pump coronary artery bypass grafting.

Introduction: 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.

Presentation Of Case: We hereby report an original case of mechanical circulatory support with the Impella Recover LP 5.

Left heart pump-assisted beating heart coronary surgery in high-risk patients.

A simple technique of left ventricular assistance, offering the advantages of both cardiopulmonary bypass and off-pump revascularization, was adopted for high-risk patients. It was used in 56 patients with critical left main stenosis and occluded right coronary artery, severely reduced ejection fraction and/or unstable angina. All patients underwent complete and successful myocardial revascularization (3.