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. 2020 May 19;7(4):1972–1975. doi: 10.1002/ehf2.12685

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© 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.

This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

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Impella RP and left ventricular assist device (LVAD) in situ. Shown on chest x‐ray (A) and fluoroscopy (B) are the Impella RP and the LVAD in situ, providing right and left ventricular support, respectively. The Impella RP inlet is located in the inferior vena cava (IVC), and the outlet is situated in the main pulmonary artery (PA) by having traversed across a tricuspid valve ring (TV ring) and the pulmonary valve in this case. CRT‐D, cardiac resynchronization therapy defibrillator; ICD, implantable cardioverter defibrillator; LV, left ventricular; RA, right atrial.