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Ann Thorac Surg 2003;75:287-288
© 2003 The Society of Thoracic Surgeons
a Department of Surgery, Division of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan
Accepted for publication August 1, 2002.
* Address reprint requests to Dr Matsumiya, Department of Surgery, Osaka University Graduate School of Medicine (E1), 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan.
e-mail: matsumg{at}surg1.med.osaka-u.ac.jp
Device-related infection remains a major factor restricting the long-term use of left ventricular assist systems. Severe pocket infection is especially difficult to manage and removal of the device has been the only curative treatment in most cases. We report a case of a Novacor device pocket infection treated successfully with continuous local irrigation and transposition of omental flap. This procedure provides another option for the management of pocket infection, which is mandatory for destination therapy the permanent usage of LVAS for the purpose of circulatory supports in patients with endstage heart failure, who are not indicated for heart transplantation.
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