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J Chest Surg

Published online December 8, 2022

Copyright © Journal of Chest Surgery.

Management of Cannula Wound Problems with Vacuum-Assisted Therapy for a Child Who Received Berlin Heart EXCOR Implantation

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

Received: July 6, 2022; Revised: October 11, 2022; Accepted: October 23, 2022

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.

Abstract

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

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J Chest Surg

Published online December 8, 2022

Copyright © Journal of Chest Surgery.

Management of Cannula Wound Problems with Vacuum-Assisted Therapy for a Child Who Received Berlin Heart EXCOR Implantation

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

Received: July 6, 2022; Revised: October 11, 2022; Accepted: October 23, 2022

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.

Abstract

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

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