Long-Term Survival Under Biventricular Assist Device Support Despite Persistent Asystole.

ASAIO JFeb 10, 2026 (epub)
Case ReportCardiologyCardiothoracic Surgery

Ibrahim Oguz Karaca, Berhan Keskin, Aykun Hakgor et al.

✦ AI-curated · Sources linked

Case in brief

A 45-year-old man supported with a biventricular assist device remained asymptomatic despite persistent asystole for 43 months. He had no native cardiac electrical or mechanical activity, yet hemodynamics, oxygenation, and device flows remained stable. Echocardiography showed absent myocardial contractility and continuously open atrioventricular valves. The report describes sustained systemic and pulmonary circulation under device support despite complete absence of intrinsic cardiac activity.

What made this case unusual

The patient maintained stable circulation during prolonged, complete asystole, with echocardiographic confirmation of absent contractility and continuously open atrioventricular valves.

Diagnostic / clinical pearl

In this case, stable hemodynamics and adequate circulation were maintained by BiVAD support despite absent native electrical and mechanical cardiac activity.

Source

PubMed · PMID 41664258

Published in ASAIO J. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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