Abstract
Patients presenting with biventricular heart failure are generally sicker than those with left ventricular heart failure, and they have fewer options outside of cardiac transplantation. The small size of the HeartWare HVADTM has led surgeons to implant two pumps in a biventricular assist device (BiVAD) configuration. The rationale of using two HVADs as BiVAD is its small size and light-weight external components, permitting ambulation and home discharge. However, the HVAD was designed to be used as a left ventricular assist system (LVAD). Various adaptations have been described to deploy the HVAD for right ventricular support.
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