Abstract

Third-Generation LVAD Rotor Dislodgement: A Short Commentary on Cautions, Diagnosis, and Management

Author(s): Tyler Lee, Kevin Hagan, Donald Haas

T he number of Left Ventricular Assist Devices (LVADs) utilized in advanced heart failure patients has significantly risen over the past decade as technological advancements become more refined. With the latest third-generation models using centrifugal flow and magnetically levitated rotors (such as the HeartMate 3), destination therapy is becoming more common. Although adverse events have dwindled with each LVAD generation, complications can still occur. A notably rare undocumented case of a third generation LVAD rotor dislodgment was identified in a 77-year-old male. Although the exact cause remains unclear, the case highlights the importance of post-market surveillance, regular follow-up, and patient education. As LVADs trend towards long term use, proactive monitoring and reporting are essential to ensure patient safety and optimizing therapeutic outcomes.