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Impella-assisted coronary artery bypass grafting for acute myocardial infarction

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.