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[Music] coming up on mayo clinic q a we have a surgical option for your heart failure so its really when patients get to that point of advanced heart failure when when medications are failing and they have docHub docHub symptoms with very little activity its called a ventricular assist device or vat and it helps to pump blood through the heart the bad can be implanted as a long-term treatment for heart failure or if the patient is not a good candidate for transplant patients are living with these and so now you could be older than a transplant candidate typically around the age of 65 is where we consider patients not to be transplant candidates because of their age and they live with this device for the rest of their lives they get back to living life welcome everyone to mayo clinic q a im dr helena gazelka did you ever watch some of the futuristic cartoons or tv shows decades ago our topic today may sound like something from science of the future but amazingly it is a re