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Ann Thorac Surg 2006;82:1110-1111
© 2006 The Society of Thoracic Surgeons

Case report

Cardiac Rupture During Vacuum-Assisted Closure Therapy

Ulrik Sartipy, MDa,*, Ulf Lockowandt, MD, PhDa, Jakob Gäbel, MDb, Lena Jidéus, MD, PhDc, Göran Dellgren, MD, PhDa

a Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, Karolinska Institutet, Stockholm
b Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg
c Department of Cardiothoracic Surgery, Uppsala University Hospital, Uppsala, Sweden

Accepted for publication January 13, 2006.

* Address correspondence to Dr Sartipy, Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, Stockholm, SE-171 76 Sweden (Email: ulrik.sartipy{at}karolinska.se).

Vacuum-assisted closure therapy is a recently introduced technique for treatment of deep sternal wound infections after cardiac surgery. We present five cases of vacuum-assisted closure therapy-related major bleeding complications due to rupture of the right ventricle. This potentially lethal complication may be avoided by covering the heart with protective layers of paraffin gauze dressings.




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