Colonic perforation from left ventricular assist device: a rare complication.

نویسندگان

  • Sara C Herman
  • Jochen D Muehlschlegel
  • Gregory S Couper
  • Edward Kelly
چکیده

A patient with idiopathic non-ischemic cardiomyopathy had a left ventricular assist device (LVAD) implanted, while awaiting cardiac transplantation. The patient had been stable following a complicated and prolonged postoperative course, but was admitted to the hospital for suspected low-grade LVAD-related infection. Work-up for sepsis was suspicious for perforated viscus. An exploratory laparotomy revealed a perforated transverse colon with gross spillage of succus. Although infectious complications following LVAD implantation are common, sepsis as a result of gastrointestinal perforation secondary to LVAD erosion is not. This first report of viscus perforation despite the use of a Gore-Tex wrap highlights a rare complication of LVAD therapy.

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عنوان ژورنال:
  • Interactive cardiovascular and thoracic surgery

دوره 11 3  شماره 

صفحات  -

تاریخ انتشار 2010