Sleeping prone with a left ventricular assist device: Dream or reality?

Darren C. Tsang, Melissa Kellner, Melanie Thomas, Faris G. Araj

Research output: Contribution to journalArticlepeer-review


Background: Among many other factors, restrictions on sleeping positions decrease quality of life after durable left ventricular assist device implantation. Specifically, device manufacturers and clinicians typically advise against sleeping in the prone position owing to concerns for driveline disruption, exit site infection, and hemodynamic compromise. Yet, no data exist to inform these recommendations and to the best of our knowledge no studies have examined sleep position in people with left ventricular assist devices. We report the first case of a person with a left ventricular assist device who slept prone, every night, for over one year. Case: This is a 38-year-old man with a HeartWare™ left ventricular assist device who had previously not disclosed that he was sleeping in the prone position for the 16 months following device implantation. The patient did not suffer any episodes of device-related malfunction, infection, neurologic insult, or hemodynamic compromise. We performed a non-invasive assessment in both supine and prone positions to better understand the hemodynamic effects of the prone position. Conclusion: In select recipients of left ventricular assist devices, sleeping in the prone position may be safely tolerated.

Original languageEnglish (US)
Pages (from-to)57-61
Number of pages5
JournalHeart and Lung: Journal of Acute and Critical Care
StatePublished - Nov 1 2022
Externally publishedYes


  • Left ventricular assist device
  • Prone position
  • Quality-of-life
  • Sleep

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine


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