Patient with implanted heartmate ii left ventricular assist device (lvad) with prior history of splice repair of driveline was admitted due to almost continual "low flow" alarms and was admitted to the intensive care unit.The patient was taken to the or where the outflow graft ring was opened, kink was released, and liquified thrombus was drained.The outflow graft was ligated closed, the lvad was decommissioned, and an impella 5.5 was implanted.The patient was upgraded for heart transplant and was successfully transplanted on 2021.
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