Abstract
Isolated use of RVAD is very rare. The RVAD has been applied to two patients in our institutes. One of them is a long-term survivor. Non-synchronizing pumping of the RVAD was significantly effective. The RVAD was successfully weaned at the postoperative 5th day. In this case, it was very likely that overdriving of the RVAD caused secondary pulmonary edema when the systolic pulmonary arterial pressure reached above 50mmHg without excess of mean left atrial pressure over 15mmHg.