大网膜瓣用于左心室辅助装置挽救治疗
Left Ventricular Assist Device Salvage with Omental Flap.
作者信息
Cusimano Luke A, Wolfe Emily T, Tan Pamela, Babycos Christopher R, Bansal Aditya
机构信息
Department of Surgery, Division of Plastic Surgery, Tulane University School of Medicine, New Orleans, La.; Department of Surgery, Division of Plastic Surgery, Ochsner Clinic Foundation, New Orleans, La.; and Department of Surgery, Division of Cardiothoracic Surgery, Ochsner Clinic Foundation, New Orleans, La.
出版信息
Plast Reconstr Surg Glob Open. 2017 Mar 1;5(3):e1250. doi: 10.1097/GOX.0000000000001250. eCollection 2017 Mar.
A large number of people are affected with heart failure annually and require left ventricular assist device placement as a bridge to heart transplant or as destination therapy. When these devices become infected, it is a challenge to eradicate the infection. Failure ultimately results in a significant morbidity and mortality. Source control along with debridement and antibiotics can eradicate the infection of the patient, but many times there is a large defect that needs soft-tissue coverage. Many options for soft-tissue coverage have been suggested, but omentum may be an excellent choice due to its vascularity, bulk, and immunological properties. In this case report, the omental flap is employed for salvage of the left ventricular assist device with excellent results.
每年有大量的人受到心力衰竭的影响，需要植入左心室辅助装置作为心脏移植的桥梁或作为终末期治疗手段。当这些装置发生感染时，根除感染是一项挑战。治疗失败最终会导致严重的发病率和死亡率。源头控制以及清创和使用抗生素可以根除患者的感染，但很多时候会存在需要软组织覆盖的大缺损。已经提出了许多软组织覆盖的选择，但网膜可能是一个很好的选择，因为它具有血管丰富、体积较大和免疫特性等优点。在本病例报告中，网膜瓣被用于挽救左心室辅助装置，效果极佳。
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