# Repair of Dissecting Aortic Aneurysm in Post-LVAD Patient

## TL;DR

This paper discusses a case where a patient with a heart failure device developed a serious aortic issue requiring complex surgery.

## Contribution

The paper presents a novel clinical case highlighting risks of continuous flow LVADs on aortic health.

## Key findings

- A patient with a HeartMate 3 LVAD developed a dissecting aortic aneurysm.
- The case required high-risk re-operative surgery due to the dissection.
- The impact of continuous flow LVADs on aortic integrity remains poorly understood.

## Abstract

Left ventricular assist devices (LVAD) are frequently used in the management of end-stage heart failure, especially given the limited availability of donor hearts. The latest HeartMate 3 LVAD delivers non-physiological continuous flow (CF), although the impact on the aorta is not well established. We highlight a case of aortic aneurysm formation complicated by dissection formation that necessitated high-risk re-operative surgery in a patient post CF-LVAD.