Management of Deep Device Related Infection in Patient Implanted with Mechanical Cardiac Support Device Using V.A.C. System

Czech version

Authors: D. Turek; I. Netuka; J. Malý; O. Szárszoi; J. Bešík; M. Urban; J. Pirk; V. Petkov ^*
Authors‘ workplace: Klinika Kardiovaskulární chirurgie IKEM Praha, přednosta: prof. MUDr. Jan Pirk, DrSc. ; Oddělení klinické mikrobiologie IKEM Praha, vedoucí: MUDr. Vladimír Petkov ^*
Published in: Rozhl. Chir., 2009, roč. 88, č. 12, s. 693-696.
Category: Monothematic special - Original

Overview

Infection remains the most significant cause of morbidity and mortality in pacients implanted with mechanical circulatory support devices (MCSD), reaching prevalence of 40–60% according various authors [1, 2]. Successful treatment of the whole spectrum of infectious complications is the basic determinant in archieving good results in MCSD patients. The treatment involves standard surgical procedures, as well as the use of vacuum assisted closure (V.A.C.) therapy in the last few years. We demonstrate successful management of deep device related infection using V.A.C therapy in a patient with MCSD, giving him the opportunity to heart transplantation, and thereafter successful treatment of poststernotomy mediastinitis in this imunosupressed pacient after heart transplantation.

Key words:
mechanical circulatory support device (MCSD) – infection – Vacuum assisted closure system (V.A.C.) – heart transplantation – poststernotomy mediastinitis

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