Introduction: Heart failure is a chronic, progressive condition in which a heart muscle cannot pump enough blood through the heart to meet the blood and oxygen requirements of the body. (1) It is the result of numerous primary and secondary diseases that lead to impaired heart pump function and reduced heart rate. Recognizing symptoms and establishing diagnosis is an extremely important part of the treatment and therapy of such patients. Through all forms of treatment of such patients, clinically, medically and ultimately surgically, physiotherapeutic processes are present as important factors in the medical team. Methods of monitoring, evaluation and physiotherapeutic intervention itself are performed and recorded in a standardized physiotherapeutic card and qualified questionnaires. The left ventricle assists device (LVAD) is mechanical support that is surgically embedded. It helps maintain the ability of a heart pump that cannot function independently. The LVAD device, sometimes referred to as the “bridge for transplantation”, is now used in long-term therapy. People often have to wait a long time before the appropriate heart becomes available. During this waiting, the already weakened heart of the patient may become even worse.

Case report: A case study of a patient with diagnosis of dilated cardiomyopathy, received through Emergency services, continuation of treatment in the Coronary Unit, Intensive Care Unit and ultimately at the Institute for Cardiac and Transplant Surgery. Because of the underlying disease, the patient was connected to the extracorporeal membrane oxygenation device, and LVAD was later embedded into the operation. Outstandingly bad respiratory and condition status, physiotherapeutic intervention started in the intensive care unit and continued in the department. After a series of complications, the patient with that has undergone frequent early rehabilitation for 3 months has left our clinic and managed to proceed with daily life activities completely independent. She is currently on the transplant list.

Conclusion: Given the difficult diagnosis, our patient has been able to overcome all the complications occurring in such a difficult state with the help of the built-in LVAD. A series of respiratory and musculoskeletal complications during surgical treatment required special expertise and knowledge of physiotherapists who, through their physiotherapeutic processes, helped the patients to re-actively engage in everyday lifestyle rhythm.