# Radical Cystectomy with Ileal Conduit Urinary Diversion in a Patient with a Left Ventricular Assist Device

## TL;DR

This paper describes the first radical cystectomy with ileal conduit performed on a patient with a left ventricular assist device and muscle-invasive bladder cancer.

## Contribution

The novelty lies in successfully performing a complex urologic surgery in a high-risk patient with an LVAD.

## Key findings

- Radical cystectomy with ileal conduit was successfully performed in a patient with an LVAD.
- The procedure was feasible despite the patient's high-risk profile and complex comorbidities.

## Abstract

Left ventricular assist device (LVAD) is an option for the surgical management of severe heart failure, and radical cystectomy remains the standard of care for muscle-invasive bladder cancer. Given a complicated population in terms of comorbidities and management for patients with an LVAD, there is little experience with major urologic procedures, which require balancing the benefits of surgery with considerable perioperative risks. We report our experience performing the first radical cystectomy with ileal conduit in a patient with an LVAD and muscle-invasive bladder cancer.