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Boulos Asfour
Dieter Hammel
Christoph Schmidt
Hans H. Scheld
Christof Schmid
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Ann Thorac Surg 2000;70:538-541
© 2000 The Society of Thoracic Surgeons

Original articles: cardiovascular

Wound complications after left ventricular assist device implantation

Tonny D.T. Tjan, MDa, Boulos Asfour, MDa, Dieter Hammel, MDa, Christoph Schmidt, MDb, Hans H. Scheld, MDa, Christof Schmid, MDa

a Departments of Department of Cardiothoracic Surgery, Westfälische Wilhelms-University, Münster, Germany
b Department of Anesthesia and Operative Intensive Care Medicine, Westfälische Wilhelms-University, Münster, GermanyDEU

Address reprint requests to Dr Schmid, Department of Cardiothoracic Surgery, Westfälische Wilhelms-University, Albert-Schweitzer-Str 33, 48149 Münster, Germany
e-mail: schmid{at}uni-muenster.de

Background. Wound necrosis and infection pose a tremendous risk for patients with left ventricular assist devices.

Methods. We analyzed our database of patients with left ventricular assist devices for those who developed wound dehiscence and concomitant infection after left ventricular assist device implantation.

Results. Three of our 66 patients (4.5%) with implantable ventricular assist devices had had severe wound complications with necrosis of the abdominal or thoracic wall uncovering part of the device. The predominant impact on the development of these complications was presumably related to multiple surgical interventions on the same site.

Conclusions. Nevertheless, these patients can recover and undergo successful heart transplantation if adequately managed.




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