The treatment of an unusual complication associated with a HeartMate II LVAD in an adolescent

Anthony Echo; Brian P. Kelley; Jamal M. Bullocks; David L. Morales

doi:10.1111/j.1399-3046.2011.01474.x

The treatment of an unusual complication associated with a HeartMate II LVAD in an adolescent

Anthony Echo, Brian P. Kelley, Jamal M. Bullocks, David L. Morales

Department of Surgery

Research output: Contribution to journal › Article

6 Scopus citations

Abstract

The HeartMate II LVAD has provided a bridge to heart transplantation or a permanent fixture for destination therapy for patients with heart failure. LVAD infections are associated with significant morbidity even when treated with explantation, device exchange, or a salvage procedure. We present an unusual complication following the placement of the HeartMate II device in an adolescent, whereby a pocket infection resulted in a large soft tissue defect overlying and surrounding the device. The novel use of a VRAM flap was successfully used to repair the defect and salvage the device.

Original language	English (US)
Pages (from-to)	E130-E133
Journal	Pediatric Transplantation
Volume	16
Issue number	4
DOIs	https://doi.org/10.1111/j.1399-3046.2011.01474.x
State	Published - Jun 2012

Keywords

HeartMate II LVAD
LVAD pocket infection
cardiac transplantation
flap
heart transplantation

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Transplantation

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abstract = "The HeartMate II LVAD has provided a bridge to heart transplantation or a permanent fixture for destination therapy for patients with heart failure. LVAD infections are associated with significant morbidity even when treated with explantation, device exchange, or a salvage procedure. We present an unusual complication following the placement of the HeartMate II device in an adolescent, whereby a pocket infection resulted in a large soft tissue defect overlying and surrounding the device. The novel use of a VRAM flap was successfully used to repair the defect and salvage the device.",

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AU - Bullocks, Jamal M.

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KW - LVAD pocket infection

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KW - flap

KW - heart transplantation

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