Kawata Mitsuhiro, Nishimura Takashi, Hoshino Yasuhiro, Kinoshita Osamu, Hisagi Motoyuki, Ando Masahiko, Morota Tetsuro, Motomura Noboru, Kyo Shunei, Ono Minoru
Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
J Artif Organs. 2011 Jun;14(2):159-62. doi: 10.1007/s10047-011-0555-y. Epub 2011 Feb 24.
We report two cases of successful use of negative pressure wound therapy (NPWT) to control of left ventricular assist device (LVAD)-related mediastinitis. It is difficult to treat mediastinitis in patients who have undergone LVAD implantation, because it is impossible to remove the infected artificial materials from the mediastinal space. This report indicates that NPWT might become the preferred therapeutic option for control of mediastinitis in patients who have undergone LVAD implantation.
我们报告了两例成功使用负压伤口治疗(NPWT)控制左心室辅助装置(LVAD)相关纵隔炎的病例。对于接受LVAD植入的患者,纵隔炎难以治疗,因为无法从纵隔间隙中取出受感染的人工材料。本报告表明,NPWT可能成为控制接受LVAD植入患者纵隔炎的首选治疗方案。