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J Chest Surg
Published online December 8, 2022
Copyright © Journal of Chest Surgery.
Siwon Oh, M.D. , Shin Kim, M.D.
, Ji-Hyuk Yang, M.D.
, Young Jin Roh, R.N.
, Ilkun Park, M.D.
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence to:Ji-Hyuk Yang
Tel 82-2-3410-0254
Fax 82-2-3410-6986
E-mail jh1.yang@samsung.com
ORCID
https://orcid.org/0000-0002-7349-6778
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
A child being supported with an extracorporeal ventricular assist device, such as the Berlin Heart EXCOR (Berlin Heart GmbH, Berlin, Germany), must have at least 2 large cannulae for a long period. Management of cannula wounds is crucial since a cannula forms a track of prosthetic material passing the mediastinum to the heart. Deep wound complications, if they occur, can be troublesome and difficult to control with conventional methods. We applied vacuum-assisted closure to a patient who had Berlin-Heart EXCOR and a gap at the cannulation site. Herein, we describe the technical aspects of management in detail.
Keywords: Pediatric, Berlin Heart, Left ventricular assist device, Cannula, Wound closure techniques
J Chest Surg
Published online December 8, 2022
Copyright © Journal of Chest Surgery.
Siwon Oh, M.D. , Shin Kim, M.D.
, Ji-Hyuk Yang, M.D.
, Young Jin Roh, R.N.
, Ilkun Park, M.D.
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence to:Ji-Hyuk Yang
Tel 82-2-3410-0254
Fax 82-2-3410-6986
E-mail jh1.yang@samsung.com
ORCID
https://orcid.org/0000-0002-7349-6778
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
A child being supported with an extracorporeal ventricular assist device, such as the Berlin Heart EXCOR (Berlin Heart GmbH, Berlin, Germany), must have at least 2 large cannulae for a long period. Management of cannula wounds is crucial since a cannula forms a track of prosthetic material passing the mediastinum to the heart. Deep wound complications, if they occur, can be troublesome and difficult to control with conventional methods. We applied vacuum-assisted closure to a patient who had Berlin-Heart EXCOR and a gap at the cannulation site. Herein, we describe the technical aspects of management in detail.
Keywords: Pediatric, Berlin Heart, Left ventricular assist device, Cannula, Wound closure techniques