Case Report Of LVAD For Refractory

Heart Failure

Inspite of advancement in medicine,majority of cardiac

patients eventually end up in cardiac failure and the incidence of
refractory heart failure is increasing.

Heart transplantation remains gold standard for managing end

stage heart failure,ventricular assist devices are now being used
more often as an alternative to heart transplantation,either as bridge
to transplantation or bridge to recovery or as destination therapy.

Iam,presenting a case of refractory heart failure inspite of

maximum medical therapy,with multiple co-morbidities. A 49 years
old male patient is a known case of chronic refractory severe left
ventricular failure following old AWMI and PTCA + stent to LAD
(2005)with indwelling AICD implant. He is a known case of
HTN,uncontrolled diabetes, and COPD treated with left ventricular
assist device on 15 June 2016. During initial post operative period,
he had multiple issues treated conservatively. He is symptom free
and is doing well.

Ventricular Assist devices can give good support during

waiting period for a heart transplant and can give good quality of life
to those who had VAD as a destination therapy.