The Longest Documented LVAD Survival: 22 Years of Durable Mechanical Circulatory Support.

Authors

Mohamed T Hassanein, Kristine L Ortiz, Caroline Kielty, Justin Parizo, Pratyaksh K Srivastava, Hirsch Mehta, Brian E Jaski, Karl K Limmer, Walter Dembitsky, Robert M Adamson

Published in

JACC. Case reports. Pages 110676. Oct 12, 2026. Epub Oct 12, 2026.

Abstract

Durable mechanical circulatory support has allowed patients prolonged survival with mitigation of myriad complications. As survivorship extends beyond a decade, driveline integrity and device management present complex clinical challenges.
We report a 73-year-old man who, to our knowledge, had the longest period of durable mechanical support at 22 years and 10 months across 3 ventricular assist devices.
Advancements in left ventricular assist device technology have continued to improve patient outcomes and can sustain meaningful quality of life over 2 decades in carefully selected patients with the support of a multidisciplinary team.
Well-selected patients can be supported with durable mechanical support for over 2 decades with the guidance of a multidisciplinary team. Evaluation of driveline malfunctions in collaboration with the manufacturer is critical for timely intervention.

PMID:
42862129
Bibliographic data and abstract were imported from PubMed on 12 Oct 2026.

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