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

Authors


Anthony Echo, MD, Division of Plastic and Reconstructive Surgery, Michael E. DeBakey Department of Surgery, 6701 Fannin, CC 610.00, Houston, TX 77030, USA
Tel.: 832 822 3140
Fax: 832 825 0175
E-mail: aecho@bcm.edu

Abstract

Echo A, Kelley BP, Bullocks JM, Morales DL. The treatment of an unusual complication associated with a HeartMate II LVAD in an adolescent.

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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