title: Cardiac rupture during vacuum-assisted closure therapy.
abstract: Vacuum-assisted closure therapy is a recently introduced technique for treatment of deep sternal wound infections after cardiac surgery. We present five cases of vacuum-assisted closure therapy-related major bleeding complications due to rupture of the right ventricle. This potentially lethal complication may be avoided by covering the heart with protective layers of paraffin gauze dressings.
authors.affiliation: Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden. ulrik.sartipy@karolinska.se
authors.forename: Ulrik
authors.initials: U
authors.lastname: Sartipy
authors.forename: Ulf
authors.initials: U
authors.lastname: Lockowandt
authors.forename: Jakob
authors.initials: J
authors.lastname: Gäbel
authors.forename: Lena
authors.initials: L
authors.lastname: Jidéus
authors.forename: Göran
authors.initials: G
authors.lastname: Dellgren
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass; D017809:Fatal Outcome; D005260:Female; D006335:Heart Injuries / Q000209:etiology* / Q000517:prevention & control; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D022125:Lacerations / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010000:Osteitis / Q000209:etiology / Q000628:therapy*; D010577:Petrolatum; D011140:Polyurethanes; D011312:Pressure / Q000009:adverse effects*; D012189:Retrospective Studies; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000401:mortality; D013249:Sternum / Q000601:surgery; D015503:Surgical Sponges; D013530:Surgical Wound Infection / Q000628:therapy*; D014618:Vacuum
chemical_list: D011140:Polyurethanes; D010577:Petrolatum