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Updated: May 23, 2026
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Insertion of the Impella 5.0 left ventricular assist device via right anterior mini-thoracotomy: a novel practical
Daniel C Choi1, Mark B Anderson, George P Batsides
1Division of Cardiothoracic Surgery, UMDNJ/Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
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.
