Herman Sara C, Muehlschlegel Jochen D, Couper Gregory S, Kelly Edward
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Interact Cardiovasc Thorac Surg. 2010 Sep;11(3):369-70. doi: 10.1510/icvts.2010.237966. Epub 2010 Jun 21.
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.
一名患有特发性非缺血性心肌病的患者在等待心脏移植期间植入了左心室辅助装置（LVAD）。该患者在经历了复杂且漫长的术后过程后一直保持稳定，但因疑似与LVAD相关的低度感染而入院。脓毒症检查怀疑有内脏穿孔。剖腹探查发现横结肠穿孔并有大量肠液外溢。虽然LVAD植入后的感染并发症很常见，但因LVAD侵蚀导致胃肠道穿孔引起的脓毒症并不常见。尽管使用了戈尔特斯（Gore-Tex）包裹物仍发生内脏穿孔的这一首次报告突出了LVAD治疗的一种罕见并发症。
