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Pedicle Flap Coverage for Infected Ventricular Assist Device Augmented with Dissolving Antibiotic Beads: Creation of an Antibacterial Pocket
  • +5
  • sasha still,
  • Rene Myers,
  • Jose Tallaj,
  • Salpy Pamboukian,
  • William Holman,
  • James Davies,
  • Charles Hoopes,
  • Erik Orozco-Hernandez
sasha still
The University of Alabama at Birmingham Department of Surgery
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Rene Myers
The University of Alabama at Birmingham Department of Surgery
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Jose Tallaj
The University of Alabama at Birmingham Department of Medicine
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Salpy Pamboukian
The University of Alabama at Birmingham Department of Medicine
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William Holman
The University of Alabama at Birmingham Department of Surgery
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James Davies
The University of Alabama at Birmingham Department of Surgery
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Charles Hoopes
The University of Alabama at Birmingham Department of Surgery
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Erik Orozco-Hernandez
The University of Alabama at Birmingham Department of Surgery
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Abstract

Infectious complications following left ventricular assist device implantation can carry significant morbidity and mortality. The main tenet of treatment is source control which entails local wound care, intravenous antimicrobial therapy, surgical debridement, and at times, soft tissue flap coverage. The mode of therapy depends on the severity, etiology, and location of infection as well as the clinical status of the patient. We describe a case of a 46 year old male who underwent left ventricular assist device placement complicated by pump thrombosis, recurrent infection, and hardware exposure who was successfully treated with a novel method of staged, soft tissue reconstruction.

Peer review status:ACCEPTED

24 Apr 2020Submitted to Journal of Cardiac Surgery
25 Apr 2020Submission Checks Completed
25 Apr 2020Assigned to Editor
25 Apr 2020Reviewer(s) Assigned
10 May 2020Review(s) Completed, Editorial Evaluation Pending
10 May 2020Editorial Decision: Revise Major
02 Jun 20201st Revision Received
05 Jun 2020Submission Checks Completed
05 Jun 2020Assigned to Editor
05 Jun 2020Reviewer(s) Assigned
12 Jun 2020Review(s) Completed, Editorial Evaluation Pending
12 Jun 2020Editorial Decision: Accept