A BIVAD (Biventricular Assist Device) is a mechanical circulatory support system that provides support to both the left ventricle and the right ventricle of the heart. It is used in patients with severe biventricular heart failure who are awaiting a heart transplant. The BIVAD is typically used as a bridge to heart transplant for patients who require temporary support to maintain vital organ perfusion while awaiting a suitable donor heart.Unlike devices that only support one side of the heart, a BIVAD provides support for both ventricles, assisting in pumping blood to the lungs and the rest of the body. This