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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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
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author Pérez‐de la Sota, Enrique
Eixerés‐Esteve, Andrea
García‐Cosio, Dolores
Delgado‐Jiménez, Juan F.
author_facet Pérez‐de la Sota, Enrique
Eixerés‐Esteve, Andrea
García‐Cosio, Dolores
Delgado‐Jiménez, Juan F.
author_sort Pérez‐de la Sota, Enrique
collection PubMed
description 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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spelling pubmed-95413612022-10-14 Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach Pérez‐de la Sota, Enrique Eixerés‐Esteve, Andrea García‐Cosio, Dolores Delgado‐Jiménez, Juan F. J Card Surg Case Reports 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. John Wiley and Sons Inc. 2022-06-15 2022-09 /pmc/articles/PMC9541361/ /pubmed/35703424 http://dx.doi.org/10.1111/jocs.16687 Text en © 2022 The Authors. Journal of Cardiac Surgery published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Pérez‐de la Sota, Enrique
Eixerés‐Esteve, Andrea
García‐Cosio, Dolores
Delgado‐Jiménez, Juan F.
Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach
title Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach
title_full Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach
title_fullStr Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach
title_full_unstemmed Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach
title_short Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach
title_sort management of a chronically infected left ventricular assist device with heart transplantation: two‐step simplified approach
topic Case Reports
url 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
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