Recovery of heart function during support with durable LVAD is uncommon,
and there are few reports of cases that address the issue of eliminating
the LVAD without the need for a heart transplant. Radical surgical
removal of the LVAD may cause distortion of left ventricular cavity and
thus affect its function, in addition to the associated risks of the
operation. Innovative ways to de-activate the LVAD, relying mainly on
implantation of vascular plugs in the outflow graft have been used. Few
reports have shown the success of this method. In this case report, we
review the story of a young patient with advanced heart failure, who
underwent LVAD implantation, and after 6-month, there was a dramatic
improvement of heart function that enabled successful de-activation of
the device.