IJCS | Volume 32, Nº1, January/ February 2019

88 Figure 1 - ECG shows paced rhythm with right bundle branch block morphology. Rico et al. Terminal AHF due to electrical storm:TAH orVAD Int J Cardiovasc Sci. 2019;32(1)87-90 Case Report The heart failure team considered temporary extracorporeal membrane oxygenation (ECMO) for short- term stabilization. Long-term hemodynamic support devices were discussed in detail in order to determine the best option (LVAD vs. TAH). If the patient had adequate right ventricular function and a controlled arrhythmia, left ventricular assist device (LVAD) would have been a suitable option. However, both these issues were a problem in this case; therefore, LVAD was not a suitable option. Biventricular assist device (BiVAD)