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Ann Thorac Surg 1999;68:1080-1082
© 1999 The Society of Thoracic Surgeons

Case Reports

Management of wound and left ventricular assist device pocket infection

William L. Holman, MDb, R. Jobe Fix, MDa, Brian A. Foley, MDa, David C. McGiffin, MDb, Barry K. Rayburn, MDa, James K. Kirklin, MDb

a Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
b Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA

Address reprint requests to Dr Holman, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL 35294-0007;
e-mail: wholman{at}holman.cvsr.uab.edu

Our patient developed a wound infection that involved an implanted left ventricular assist device. At surgery, the pump was washed with a detergent-containing bacteriocidal solution, then antibiotic-impregnated polymethylmethacrylate beads were placed around the pump. The wound was revised using rectus muscle to cover the pump. The incisions have healed and the patient is now at home. She is on no systemic antibiotics and has no evidence of infection 11 months postoperatively.




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