Figure legends:
Fig. 1. Preoperative coronary angiography revealed (a) long segment
multiple severe stenoses of left anterior descending, (b) severe
stenosis in the proximal first marginal branch and downstream second
stenosis of circumflex artery, and (c) segment 2 of the right coronary
artery and posterior descending artery. (Black arrows show relevant
stenosis)
Fig. 2. Postoperative chest radiography. (a). Initial support with
venous-arterial extracorporeal membrane oxygenation (black line and
arrows: venous cannula, white line and arrows: Impella; 7th
postoperative day (POD)); (b) later downgrading of support to Impella
(white line and arrows) combined with TandemHeart catheter (black dotted
line and arrows; 11th POD).