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Updated: Feb 13, 2026

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Construction of an Apical Plug for Explantation of HeartWare HVAD Left Ventricular Assist Device
Shawn M Shah1, Nicholas R Teman1, Eileen Dearth1
1Division of Thoracic and Cardiovascular Surgery, University of Virginia Medical Center, Charlottesville, Virginia.
Abstract:
Utilization of a left ventricular assist device as a bridge to myocardial recovery is an established therapy for acute systolic heart failure. However, device removal can present a technical challenge, with no clear consensus on preferred method. In this case report, we describe a complex patient who underwent successful explantation of a left ventricular assist device using an intraoperatively constructed apical plug. This method utilizes inexpensive and easily accessible materials, minimizes ventricular distortion during device removal, and preserves the ventricular sewing ring for future reimplantation.
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