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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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
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spelling Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approachManejo de un dispositivo de asistencia ventricular izquierda crónicamente infectado con un trasplante cardiaco: abordaje simplificado en dos tiemposPérez De La Sota, EnriqueEixerés Esteve, AndreaGarcía Cosio, DoloresDelgado Jiménez, Juan FranciscoTransplantLVADVentricular Assist Device (VAD)Cronic infectionTrasplante cardiacoDispositivo de Asistencia Ventricular (DAV)Infección crónicaCardiologíaCirugíaSistema cardiovascular3205.01 Cardiología3213 Cirugía2411.03 Fisiología CardiovascularBackground: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.El abordaje quirúrgico para el tratamiento de un dispositivo de asistencia ventricular izquierda con infección grave puede ser controvertido. Presentamos el caso de un paciente al que se le implantó un HVAD HeartWare™ como puente al trasplante e infección crónica del dispositivo por Pseudomonas al que se le realizó un tratamiento conservador parcial del túnel del cable percutáneo y posteriormente se realizó un trasplante cardíaco y la retirada del dispositivo. El abordaje simplificado en dos tiempos permitió que el paciente fuera trasplantado en un corto período de tiempo, con la pared abdominal cicatrizada y casi dos tercios del túnel subcutáneo del cable percutáneo esterilizados.WileyUniversidad Complutense de Madrid20222022-06-1520222022-06-15journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/71667reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-SinDerivadas 3.0 Españahttps://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/716672026-06-02T12:44:21Z
dc.title.none.fl_str_mv Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach
Manejo de un dispositivo de asistencia ventricular izquierda crónicamente infectado con un trasplante cardiaco: abordaje simplificado en dos tiempos
title Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach
spellingShingle Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach
Pérez De La Sota, Enrique
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
title_short 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_sort Management of a chronically infected left ventricular assist device with heart transplantation: Two‐step simplified approach
dc.creator.none.fl_str_mv Pérez De La Sota, Enrique
Eixerés Esteve, Andrea
García Cosio, Dolores
Delgado Jiménez, Juan Francisco
author Pérez De La Sota, Enrique
author_facet Pérez De La Sota, Enrique
Eixerés Esteve, Andrea
García Cosio, Dolores
Delgado Jiménez, Juan Francisco
author_role author
author2 Eixerés Esteve, Andrea
García Cosio, Dolores
Delgado Jiménez, Juan Francisco
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 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
topic 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 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.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-06-15
2022
2022-06-15
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/71667
url https://hdl.handle.net/20.500.14352/71667
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-SinDerivadas 3.0 España
https://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-SinDerivadas 3.0 España
https://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869411889306402816
score 15,300719

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