Richard Trimlett is a consultant cardiac surgeon and Lead Clinician for Mechanical Support at The Royal Brompton Hospital, having spent more than 18 years, working in cardio-thoracic centres specialising in heart and lung transplant, ventricular assist devices, ECMO (both VA & VV) and various other methods of support including Impella and Destintation Devices, both in the UK and the USA. He was responsible for the setting up and running of an ECMO service which grew out of the existing VAD Programme. Richard has chaired sessions at international meetings on VA-ECMO and VAD support, published in peer-reviewed journals and written book chapters on this subject. He also has an ongoing research project in the field of additive manufacture as applied to mechanical support pump and technology design with a particular interest in destination therapy.