Abstract
LVAD = Left Ventricular Assist Device; LV = Left Ventricle; LA = Left Atrium; AO = Aorta
Keywords: Left Ventricular Assist Device, Heart Failure, Surgery, Echocardiography
A 41-year-old male Indian patient was admitted to our hospital due to refractory congestive heart failure. The patient received a left ventricular assist device (LVAD) as destination therapy. The images show the preoperative, intraoperative, and postoperative echocardiography findings [Figures 1–5].
Figure 2.

(a) Intraoperative tranesophageal echocardiography at 115° showing the LVAD inflow conduit from the LV apex (arrows) and (b) the color flow in the conduit (arrows)
Figure 3.

Intraoperative transesophageal echocardiography at 115°, showing the outflow conduit of the LVAD into the ascending aorta (arrows)
Figure 4.

Post-LVAD implantation M mode echocardiogram of the aortic valve and left atrium shows closed aortic cusps throughout systole and diastole (v), denoting the well-functioning LVAD
Figure 1.

Preoperative M mode study showing a low cardiac output pattern of the (a) Preoperative M-mode study showing a low cardiac output pattern of the aortic valve, (b) Low output pattern of mitral valve, and (c) Dilated left ventricle (LV) with low output pattern
Figure 5.

Diagram showing the LVAD and its inflow and outflow conduits.
