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(A) A redo-sternotomy in a patient with previous LVAD placement. Rult retractor (Rultract, Cleveland, OH) was used to assist in exposure for the dissection of the left ventricular apex and LVAD. (B) Completion of the dissection with LVAD outflow graft and LVAD driveline exposed. Snares were placed around the SVC and IVC. LVAD, left ventricular assist device; SVC, superior vena cava; IVC, inferior vena caca.
