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CF-LVAD therapy is shown to provide significant success, useful, and quality-of-life advantages . But, almost one-half of patients with advanced heart failure undergoing implantation of a CF-LVAD have important valvular heart disease (VHD) present at the time of unit implantation or develop VHD during support that will induce worsening correct or left ventricular dysfunction and end in growth of recurrent heart failure, much more frequent unpleasant events, and higher mortality. In this analysis,