Author Contributions:
Eric I. Jeng provided the oversight of the project and critical revision of article. Alexander D. Ghannam drafted the article. Mustafa M. Ahmed revised and approved the article.
Key Clinical Message: A previously functioning LVAD that experiences low flow alarms may benefit from minimally invasive pericardial release, rather than LVAD replacement, to improve inflow and outflow cannula angles and ultimately hemodynamics.