Author Contributions:
Eric I. Jeng provided the oversight of the project and critical revision
of article. Alexander D. Ghannam drafted the article. Mustafa M. Ahmed
revised and approved the article.
Key Clinical Message: A previously functioning LVAD that
experiences low flow alarms may benefit from minimally invasive
pericardial release, rather than LVAD replacement, to improve inflow and
outflow cannula angles and ultimately hemodynamics.