Successful long-term intermittent hemodialysis in a patient with left ventricular assist device.

Renal impairment is a frequent complication of cardio-renal syndrome that increases mortality and morbidity. This is even more likely when renal replacement therapy is required, precluding in many cases transplantation and seriously limiting life expectancy. We describe the first case of refractory heart failure in a patient with a ventricular assist device (LVAD) implanted as destination therapy. He underwent intermittent hemodialysis (HD) treatment as an outpatient with good quality of life.