Anesthetic Management of Left Ventricular Assist Device Exchange in a Patient with Intracranial Hemorrhage

The gold standard treatment for end-stage heart failure is heart transplantation; however, the rate of transplantation remains inadequate because of the paucity of organ donation. the left ventricular assist device (lvad) has been used as a bridge therapy before transplantation. the lvad is being used increasingly because it reduces mortality despite the accompanying morbidities. therefore, the anesthetic management of lvad-related morbidities is important and requires experience and knowledge. herein, we describe a 60-year-old male patient with an lvad with complaints of right hemiparesis, dysphasia, and facial paralysis. we aim to present the anesthetic management of a patient with intracranial hemorrhage who underwent lvad exchange due to thrombosis.