Cardiac rupture during vacuum-assisted closure therapy.
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.
Sartipy
Ulrik
U
Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden. ulrik.sartipy@karolinska.se
Lockowandt
Ulf
U
Gäbel
Jakob
J
Jidéus
Lena
L
Dellgren
Göran
G
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
D011140:Polyurethanes; D010577:Petrolatum