Dr. Max Frenkel and colleagues presented a unique case of using ECPELLA—a combination of Impella 5.5 and venoarterial extracorporeal membrane oxygenation (VA-ECMO)—as a bridge to heart transplantation in a patient with a large post-myocardial infarction (MI) ventricular septal defect (VSD) and refractory ventricular arrhythmias. A 59-year-old male arrived with cardiogenic shock and was initially supported…