HeartWare HVAD Exchange to HeartMate3: Principles, Techniques, and Pitfalls

Victoria H. Lam, Aldo E. Rafael-Yarihuaman, Dan M. Meyer

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Since the recall of the HeartWare HVAD device in 2021, the management of the remaining implants range from medical management, transplant, to exchange. This article describes 2 feasible approaches to exchange the HVAD to the HeartMate3 device through a combination of a left lateral thoracotomy with a superior hemi-sternotomy. These approaches minimize dissection and complications of a redo-sternotomy and minimizes bypass time. Pitfalls and solutions are also herein described.

Original languageEnglish (US)
JournalOperative Techniques in Thoracic and Cardiovascular Surgery
StateAccepted/In press - 2022
Externally publishedYes


  • HeartMate 3
  • HVAD exchange
  • LVAD
  • redo surgery

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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