A successful management of infection of the left ventricular assist device by pump exchange

conversion from DuraHeart to Jarvik 2000

Shun Tanaka, Kan Nawata, Hiroto Kitahara, Shuichi Yoshitake, Takahiro Matsuoka, Yoshifumi Itoda, Osamu Kinoshita, Mitsutoshi Kimura, Minoru Ono

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We successfully controlled infection of a left ventricular assist device by performing pump exchange. A 53-year-old man was implanted with DuraHeart for ischemic cardiomyopathy as a bridge to transplantation. Two years later, he was hospitalized with the diagnosis of driveline infection. The blood cultures detected Pseudomonas aeruginosa. During the admission, he developed brain hemorrhage perhaps due to septic emboli. The chest computed tomography scan revealed a small defect inside the outflow graft of the DuraHeart, which was highly suspected of vegetation. He underwent pump exchange, from DuraHeart to Jarvik 2000 with concomitant omentopexy. His postoperative course was uneventful, and he was discharged with no sequela of the brain hemorrhage. Four months after the pump exchange, he successfully underwent heart transplantation. No infectious tissue was observed in the pericardial space at the time of heart transplantation. Pump exchange is an effective way to manage refractory left ventricular assist device infection, and the timing of surgical intervention is of great importance.

Original languageEnglish
Pages (from-to)1-5
Number of pages5
JournalJournal of Artificial Organs
DOIs
Publication statusAccepted/In press - 2016 Jul 11
Externally publishedYes

Fingerprint

Left ventricular assist devices
Heart-Assist Devices
Intracranial Hemorrhages
Pumps
Heart Transplantation
Infection
Brain
Pericardium
Embolism
Cardiomyopathies
Pseudomonas aeruginosa
Thorax
Transplantation
Tomography
Grafts
Refractory materials
Transplants
Blood
Tissue
Defects

Keywords

  • DuraHeart
  • Infection
  • Jarvik 2000
  • Left ventricular assist device
  • Pump exchange

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Biomaterials
  • Biomedical Engineering
  • Cardiology and Cardiovascular Medicine

Cite this

A successful management of infection of the left ventricular assist device by pump exchange : conversion from DuraHeart to Jarvik 2000. / Tanaka, Shun; Nawata, Kan; Kitahara, Hiroto; Yoshitake, Shuichi; Matsuoka, Takahiro; Itoda, Yoshifumi; Kinoshita, Osamu; Kimura, Mitsutoshi; Ono, Minoru.

In: Journal of Artificial Organs, 11.07.2016, p. 1-5.

Research output: Contribution to journalArticle

Tanaka, Shun ; Nawata, Kan ; Kitahara, Hiroto ; Yoshitake, Shuichi ; Matsuoka, Takahiro ; Itoda, Yoshifumi ; Kinoshita, Osamu ; Kimura, Mitsutoshi ; Ono, Minoru. / A successful management of infection of the left ventricular assist device by pump exchange : conversion from DuraHeart to Jarvik 2000. In: Journal of Artificial Organs. 2016 ; pp. 1-5.
@article{006daa403df441c9bff9880dbb3ff001,
title = "A successful management of infection of the left ventricular assist device by pump exchange: conversion from DuraHeart to Jarvik 2000",
abstract = "We successfully controlled infection of a left ventricular assist device by performing pump exchange. A 53-year-old man was implanted with DuraHeart for ischemic cardiomyopathy as a bridge to transplantation. Two years later, he was hospitalized with the diagnosis of driveline infection. The blood cultures detected Pseudomonas aeruginosa. During the admission, he developed brain hemorrhage perhaps due to septic emboli. The chest computed tomography scan revealed a small defect inside the outflow graft of the DuraHeart, which was highly suspected of vegetation. He underwent pump exchange, from DuraHeart to Jarvik 2000 with concomitant omentopexy. His postoperative course was uneventful, and he was discharged with no sequela of the brain hemorrhage. Four months after the pump exchange, he successfully underwent heart transplantation. No infectious tissue was observed in the pericardial space at the time of heart transplantation. Pump exchange is an effective way to manage refractory left ventricular assist device infection, and the timing of surgical intervention is of great importance.",
keywords = "DuraHeart, Infection, Jarvik 2000, Left ventricular assist device, Pump exchange",
author = "Shun Tanaka and Kan Nawata and Hiroto Kitahara and Shuichi Yoshitake and Takahiro Matsuoka and Yoshifumi Itoda and Osamu Kinoshita and Mitsutoshi Kimura and Minoru Ono",
year = "2016",
month = "7",
day = "11",
doi = "10.1007/s10047-016-0919-4",
language = "English",
pages = "1--5",
journal = "Journal of Artificial Organs",
issn = "1434-7229",
publisher = "Springer Japan",

}

TY - JOUR

T1 - A successful management of infection of the left ventricular assist device by pump exchange

T2 - conversion from DuraHeart to Jarvik 2000

AU - Tanaka, Shun

AU - Nawata, Kan

AU - Kitahara, Hiroto

AU - Yoshitake, Shuichi

AU - Matsuoka, Takahiro

AU - Itoda, Yoshifumi

AU - Kinoshita, Osamu

AU - Kimura, Mitsutoshi

AU - Ono, Minoru

PY - 2016/7/11

Y1 - 2016/7/11

N2 - We successfully controlled infection of a left ventricular assist device by performing pump exchange. A 53-year-old man was implanted with DuraHeart for ischemic cardiomyopathy as a bridge to transplantation. Two years later, he was hospitalized with the diagnosis of driveline infection. The blood cultures detected Pseudomonas aeruginosa. During the admission, he developed brain hemorrhage perhaps due to septic emboli. The chest computed tomography scan revealed a small defect inside the outflow graft of the DuraHeart, which was highly suspected of vegetation. He underwent pump exchange, from DuraHeart to Jarvik 2000 with concomitant omentopexy. His postoperative course was uneventful, and he was discharged with no sequela of the brain hemorrhage. Four months after the pump exchange, he successfully underwent heart transplantation. No infectious tissue was observed in the pericardial space at the time of heart transplantation. Pump exchange is an effective way to manage refractory left ventricular assist device infection, and the timing of surgical intervention is of great importance.

AB - We successfully controlled infection of a left ventricular assist device by performing pump exchange. A 53-year-old man was implanted with DuraHeart for ischemic cardiomyopathy as a bridge to transplantation. Two years later, he was hospitalized with the diagnosis of driveline infection. The blood cultures detected Pseudomonas aeruginosa. During the admission, he developed brain hemorrhage perhaps due to septic emboli. The chest computed tomography scan revealed a small defect inside the outflow graft of the DuraHeart, which was highly suspected of vegetation. He underwent pump exchange, from DuraHeart to Jarvik 2000 with concomitant omentopexy. His postoperative course was uneventful, and he was discharged with no sequela of the brain hemorrhage. Four months after the pump exchange, he successfully underwent heart transplantation. No infectious tissue was observed in the pericardial space at the time of heart transplantation. Pump exchange is an effective way to manage refractory left ventricular assist device infection, and the timing of surgical intervention is of great importance.

KW - DuraHeart

KW - Infection

KW - Jarvik 2000

KW - Left ventricular assist device

KW - Pump exchange

UR - http://www.scopus.com/inward/record.url?scp=84978151295&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84978151295&partnerID=8YFLogxK

U2 - 10.1007/s10047-016-0919-4

DO - 10.1007/s10047-016-0919-4

M3 - Article

SP - 1

EP - 5

JO - Journal of Artificial Organs

JF - Journal of Artificial Organs

SN - 1434-7229

ER -