Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach

BACKGROUND: The surgical approach for the treatment of a left ventricular assist device with severe infection may be controversial. MATERIAL & METHODS: We present the case of a patient implanted with a HeartWare™ HVAD as a bridge to transplant and chronic infection of the device by Pseudomonas w...

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Detalles Bibliográficos
Autores principales: Pérez‐de la Sota, Enrique, Eixerés‐Esteve, Andrea, García‐Cosio, Dolores, Delgado‐Jiménez, Juan F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541361/
https://www.ncbi.nlm.nih.gov/pubmed/35703424
http://dx.doi.org/10.1111/jocs.16687
Descripción
Sumario:BACKGROUND: The surgical approach for the treatment of a left ventricular assist device with severe infection may be controversial. MATERIAL & METHODS: We present the case of a patient implanted with a HeartWare™ HVAD as a bridge to transplant and chronic infection of the device by Pseudomonas who underwent a conservative partial treatment of the driveline tunnel and subsequently a heart transplantation and device removal were done. CONCLUSIONS: The two‐step simplified approach allowed the patient to be transplanted in a short period of time, with the abdominal wall healed and almost two‐thirds of the driveline subcutaneous tunnel sterilized.

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