Redo sternotomy and explantation of left ventricular assist devices (LVAD) for heart transplantation (HT) remain technically complex cases and may involve prolonged dissection, potential injury to mediastinal structures or bleeding. In our clinical experience, we have noted a significantly greater ease of mediastinal dissection in patients in whom a complete GoreTex wrap was placed during LVAD implantation. Our study evaluated the effect of a complete GoreTex (W. L.
