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A 68-year old male with ischaemic cardiomyopathy who underwent HeartMate II implantation complained of chest discomfort 4 months after the operation. Computed tomography images clearly demonstrated a disconnected outflow graft bend relief (Fig. 1). During reoperation, the bend relief was indeed found to be disconnected and the outflow graft was severely abraded by the sharp metal end of the bend relief (Fig. 2).

Outflow graft abrasion due to bend relief detachment in a HeartMate II device