Background:
Aortic regurgitation developing after continuous flow LVAD (cf-LVAD)
implantation is not uncommon and represents an eminent problem that can
affect LVAD performance [1]. Currently, it is not known if the
progression of aortic insufficiency (AI) differs with different LVAD
models or with pump hemodynamics [1]. With increasing severity of
AI, a vicious circle develops, whereby most of the pumped blood through
the outflow graft regurgitates back into the left ventricle leading to
ineffective LVAD function and worsening heart failure symptoms and signs
[1]. Predictors of severe AI in our Patient included Age
> 60 years, chronic kidney disease, LVEDD >
6.8 cm, and PCWP> 18 mmHg. Here, we present a case of a
patient who received a heart transplant due to heart failure with
hypoperfusion symptoms secondary to severe aortic regurgitation.