Off‐pump myocardial revascularization with Impella 5.5‐assisted for cardiogenic shock

We report a case of Impella 5.5‐assisted off‐pump coronary artery bypass grafting for acute myocardial infarction with cardiogenic shock. The Impella 5.5 was placed in the left ventricle during the emergent procedure, and an off‐pump coronary artery bypass grafting was successfully performed with exposure of all three walls of the heart. Our findings demonstrated the feasibility of off‐pump coronary revascularization in three‐vessel disease in a patient assisted with an Impella 5.5 percutaneous left ventricular assist device without displacement of the device during the entire perioperative period.