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Advanced heart failure is a devastating condition with mortality resembling those of the malignancies with the highest mortality. Nowadays, there is a growing employment of a left ventricular assist devices in the management of this lethal condition.1,2 We present a case of a patient with device malfunction (power spike, high flow alarms) successfully treated with early thrombolysis which led to fast recovery of the device function.

Successful thrombolysis in an asymptomatic patient with left ventricular assist device thrombosis