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Handchir Mikrochir Plast Chir. 2012 Apr;44(2):97-102. doi: 10.1055/s-0031-1279763. Epub 2011 Jul 13.

[Reconstructive surgery in patients with a ventricular assist device (VAD)--an interdisciplinary challenge].

[Article in German]

Author information

1
Krankenhaus Bethel, Klinik für Plastische, Ästhetische und Handchirurgie, Bückeburg. o.frerichs@krankenhaus-bethel.de

Abstract

BACKGROUND:

Ventricular assist devices (VAD) are implanted with a growing frequency in patients with end-stage heart failure. In spite of technical and therapeutic advances, there is still a high incidence of device infections and healing disturbances with a considerable mortality. Reconstructive plastic surgery is able to provide help in erradicating infections and covering defects.

PATIENTS AND METHODS:

11 patients with device infections and soft tissue defects were treated in our institution. All cases were treated with local myocutaneous or muscle flaps.

RESULTS:

Three patients had postoperative haematomas which had to be revised surgically. One patient had a persistent fistula of mediastinal origin but without clinical symptoms of infection. One patient exhibited an enterocutaneous fistula after defect coverage.

CONCLUSION:

Patients with VADs have a high possibility of perioperative complications. Therefore a close interdisciplinary approach with plastic and cardiovascular surgeons is absolutely essential.

PMID:
21755490
DOI:
10.1055/s-0031-1279763
[Indexed for MEDLINE]

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