Kanika Mody, MD, medical director of the PVAD and durable VAD program at Hackensack University Medical Center, presents the case of a 45-year-old male with AMI shock escalated from Impella CP® with SmartAssist® to Impella 5.5® with SmartAssist®. Robert Dowling, MD, surgical director of heart transplant at Christ Hospital in Cincinnati, Ohio, presents a 53-year-old female with hypertrophic cardiomyopathy in cardiogenic shock managed with Impella 5.5. Prof. Bart Meyns, MD, chief of cardiac surgery at Leuven University Hospital in Belgium, describes a 58-year-old male presenting in shock managed with ECMO and Impella® (ECpella).

Topics discussed include how to define “heart recovery” and how long to wait for heart recovery before transplant. Bobbi Bogaev Chapman, MD, moderates this discussion with three physicians presenting their perspectives on heart recovery at the International Society for Heart & Lung Transplantation (ISHLT) 2023 annual meeting in Denver Colorado.