Ringed polytetrafluoroethylene (Gore-Tex) tunneled “chimney” graft for pediatric use of Impella 2.5 axial flow pump Raghav Murthy, MBBS, Javier Brenes,

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Ringed polytetrafluoroethylene (Gore-Tex) tunneled “chimney” graft for pediatric use of Impella 2.5 axial flow pump Raghav Murthy, MBBS, Javier Brenes, MD, Vasiliki V. Dimas, MD, Kristine J. Guleserian, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 4, Pages 1421-1422 (April 2014) DOI: 10.1016/j.jtcvs.2013.11.033 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Impella 2.5 axial flow pump (Abiomed Inc, Danvers, Mass). The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1421-1422DOI: (10.1016/j.jtcvs.2013.11.033) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Tunneled ringed polytetrafluoroethylene (Gore-Tex; WL Gore & Associates Inc, Flagstaff, Ariz) graft in place along with outer sheath for the Impella axial flow pump in position. B, Malperfused left foot (trash foot) in a 15-year-old patient with direct insertion of the Impella 2.5 into the common left femoral artery. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1421-1422DOI: (10.1016/j.jtcvs.2013.11.033) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions