Document Detail


Small bowel fistula and its impact: incorrect placement of left ventricular assist device cannulas leads to severe intestinal complications.
MedLine Citation:
PMID:  22679225     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A young man presented with a chronic abdominal dermal irritation 4 years after implantation of a left ventricular assist device (LVAD; Berlin heart excor). The LVAD was needed because of end-stage heart failure following a chronic parvovirus B19 Infection. The implantation of mechanical circulatory support systems (MCS) has nowadays become an accepted treatment modality for patients with end-stage heart failure. Recent literature shows several intestinal complications related to MCS, but no case presents the development of a small bowel fistula to the jejunum, transversal colon and stomach. We present a case of inaccurate placement of Berlin heart excor LVAD cannulas and its impact. This case emphasises the importance of correct placement of VAD cannulas to achieve an optimal long-term result. After surgical treatment the postoperative course was prolonged because of increasing peritonitis probably based on ongoing intraperitoneal chronic contamination with intestinal germs. The patient unfortunately deceased.
Authors:
Kadir Yilmaz; Heinrich Erpenbeck; Thorsten Drews; Roland Hetzer
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-09-13
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-08     Completed Date:  2013-05-24     Revised Date:  2013-09-17    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Affiliation:
Cardiovascular Surgery Department, German Heart Institute Berlin, Berlin, Germany. kdrylmz@gmx.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Fatal Outcome
Heart-Assist Devices / adverse effects*
Humans
Intestinal Fistula / etiology*,  surgery
Intestine, Small*
Male
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