A New LVAD

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TEEintraoppreopTGbLVSAX2D
Short case presentation
73 y.o. male with a history of CAD, CHF, MI, moderate pulmonary HTN, syncope, GERD, and renal insufficiency.
He is on Lisinorpril, Coreg, Metoprolol, Lipitor, Terazosin, and ASA

After his MI, he had a post-infarct VSD.
He is scheduled for an Impella insertion.

Please review the TEE and consider the following questions:
What are the contraindications for an Impella?
What are the indications for an Impella?
What is the proper placement of an Impella?
What are the complications of an Impella?