{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T23:19:03Z","timestamp":1785367143681,"version":"3.55.0"},"reference-count":5,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2026,4]]},"abstract":"ABSTRACT<\/jats:title>\n \n \n A Left Ventricular Assist Device (LVAD) patient developed severe aortic regurgitation (AR), leading to right heart failure and multi\u2010organ dysfunction (MOD). Temporary Right Ventricular Assist Device (tRVAD) support caused left ventricle (LV) overload and pulmonary edema. Implantation of an Impella 5.5 successfully unloaded the LV and stabilized the patient, enabling durable RVAD implantation with surgical aortic valve replacement (SAVR). The case highlights the importance of early AR recognition and tailored mechanical circulatory support.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/aor.70072","type":"journal-article","created":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T16:49:10Z","timestamp":1764607750000},"page":"631-635","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Three Ventricular Assist Devices (True\n TriVAD<\/scp>\n ) as Bridge to Durable Biventricular Support (\n BiVAD<\/scp>\n ) in\n LVAD<\/scp>\n Patient With Severe Aortic Regurgitation"],"prefix":"10.1111","volume":"50","author":[{"given":"Nikolaos","family":"Cholevas","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery German Heart Center of the Charit\u00e9 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Schoenrath","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery German Heart Center of the Charit\u00e9 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Merke","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery German Heart Center of the Charit\u00e9 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Fries","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery German Heart Center of the Charit\u00e9 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Mueller","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery German Heart Center of the Charit\u00e9 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0285-263X","authenticated-orcid":false,"given":"Johanna","family":"Mulzer","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery German Heart Center of the Charit\u00e9 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evgenij","family":"Potapov","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery German Heart Center of the Charit\u00e9 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,1]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2018.07.012"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezae028"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2015.05.008"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.2746"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2016.07.013"}],"container-title":["Artificial Organs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aor.70072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aor.70072","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aor.70072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T04:05:59Z","timestamp":1777435559000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aor.70072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/aor.70072"],"URL":"https:\/\/doi.org\/10.1111\/aor.70072","archive":["Portico"],"relation":{},"ISSN":["0160-564X","1525-1594"],"issn-type":[{"value":"0160-564X","type":"print"},{"value":"1525-1594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,1]]},"assertion":[{"value":"2025-10-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}