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- So lets say a patients Heart Failure gets to this point where medications and lifestyle changes help but really, they just arent enough. And the patients symptomatic almost all the time. Well, thats when we start to think about medical device implants or surgery. So there are actually a few types of medical devices that can be used. And the first one we call the ventricular assist device or sometimes just the VAD, V-A-D. This device assists or it helps the patients ventricle or ventricles. Since with Heart Failure one or both ventricles arent pumping very well, these devices actually help out with that and essentially take over the pumping for the ventricle. And so how they typically work is that theres this small tube that attaches to the ventricle that needs help. And well say that in this case the left ventricle needs help. And so its coming from the bottom of the ventricle, here. So at this point the blood, instead of exiting out the artery as youd normally expect it