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 who...

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Bibliographic Details
Authors: Pérez De La Sota, Enrique, Eixerés Esteve, Andrea, García Cosio, Dolores, Delgado Jiménez, Juan Francisco
Format: article
Publication Date:2022
Country:España
Institution:Universidad Complutense de Madrid (UCM)
Repository:Docta Complutense
Language:English
OAI Identifier:oai:docta.ucm.es:20.500.14352/71667
Online Access:https://hdl.handle.net/20.500.14352/71667
Access Level:Open access
Keyword:Transplant
LVAD
Ventricular Assist Device (VAD)
Cronic infection
Trasplante cardiaco
Dispositivo de Asistencia Ventricular (DAV)
Infección crónica
Cardiología
Cirugía
Sistema cardiovascular
3205.01 Cardiología
3213 Cirugía
2411.03 Fisiología Cardiovascular
Description
Summary: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 betransplanted in a short period of time, with the abdominal wall healed and almost two‐thirds of the driveline subcutaneous tunnel sterilized.