Left ventricular assist device insertion and open abdominal aortic aneurysm repair in same admission for an end-stage heart failure patient

Patients suffering from end-stage heart failure also suffer from multiple cardiovascular comorbidities such as abdominal aortic aneurysm (AAA). Mechanical support with left ventricular assist device with open repair of AAA repair has rarely been reported in literature. The authors describe a 60-year-old male with end-stage heart failure and a symptomatic AAA with sequential left ventricular assist device insertion and open AAA repair with aortic cross-clamping. A 60-year-old gentleman, with a history of diabetes mellitus and hypertension, was referred for symptomatic end-stage heart failure, INTERMACS profile 4.