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Figure 1 (A) The Jarvik-2000 left ventricular assist device is shown before implantation. Note that the device is only slightly larger than the surgeon’s thumb. (B) The power cable connected to the percutaneous skull-mounted pedestal is shown. There were no problems at the skin exit site. The black power plug connected to the percutaneous pedestal is waterproof, and the patient is able to take a shower. The inset shows an intraoperative view of the percutaneous skull-mounted pedestal.