Pro: LVAD: patient's desire for termination of VAD therapy should be challenged.

AS VENTRICULAR ASSIST DEVICE (VAD) therapy for end-stage heart failure has become more prominent in the past decade, so have the psychosocial aspects of device management when patients face the end of life. A case is briefly presented to demonstrate the conflicting elements. The mechanical, emotional and ethical decision-making processes for management are… CONTINUE READING