Abstract
Left ventricular assist device (LVAD) pocket infection is a serious and potentially fatal complication. Not infrequently, the device erodes externally through the thoracoabdominal wall or internally into the peritoneum. In this article, we report two cases to illustrate the presentation and challenges associated with management of LVAD-pocket infection and wound necrosis. Afterward, we review the current therapeutic strategies for LVAD erosion.
© 2013 Wiley Periodicals, Inc.
MeSH terms
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Abdominal Wall
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Anti-Bacterial Agents / administration & dosage
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Device Removal
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Drainage
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Heart Ventricles
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Heart-Assist Devices / adverse effects*
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Humans
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Male
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Middle Aged
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Patient Education as Topic
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Peritoneum
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Prosthesis Failure / adverse effects*
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Prosthesis-Related Infections / diagnosis
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Prosthesis-Related Infections / etiology*
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Prosthesis-Related Infections / prevention & control
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Prosthesis-Related Infections / therapy*
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Pseudomonas Infections / diagnosis
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Pseudomonas Infections / etiology*
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Pseudomonas Infections / prevention & control
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Pseudomonas Infections / therapy*
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Surgical Procedures, Operative
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Thoracic Wall
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Treatment Outcome