“Valve in valve” through femoral approach to allow the later implantation of long-term left ventricle assist device: a case report

Long-term left ventricular assist devices (LVADs) may be indicated as a bridge to heart transplantation, as a bridge to candidacy or as a destination therapy, and their use in our environment is continuously growing. The selection of the patient and his perioperative management are determinant factors to the success of this treatment (1)