A middle-aged man had a HeartMate-2 left ventricular assist device inserted, but faced declining health from more than his heart after he developed a critical infection. He was discharged the same day the insertion was completed, but returned to the hospital two months later to treat his infection, which was done with the use of a vacuum-assisted wound sealing application (VAC). He returned to the hospital yet again, however, for mediastinal bleeding and required surgery for a chest wall infection. After multiple other hospitalizations, his ventricular assist device was removed, and the surgeon found a wound VAC sponge inside him, which was removed along with copious amount of dead tissue which had grown into the sponge. The surgeon who performed the initial wound VAC was consequently sued, and an expert in hospital procedural guidelines was needed to testify in the trial.