title: Management of Rapidly Ascending Driveline Tunnel Infection.
abstract: We present a case of rapidly ascending left ventricular assist device driveline and tunnel infection in a patient with a long length of driveline buried beyond the distal velour coating. Device salvage with radical debridement, exit site relocation, and local tissue advancement is described. The findings in this case suggest that the interface between nonvelour covered driveline and subcutaneous tissue can become the nidus of a virulent ascending infection because of poor tissue ingrowth.
authors.affiliation: Department of Cardiothoracic Surgery, New York University-Langone Medical Center, New York, New York.
authors.forename: Gregory
authors.initials: G
authors.lastname: Rubinfeld
authors.affiliation: Department of Plastics and Reconstructive Surgery, New York University-Langone Medical Center, New York, New York.
authors.forename: Jamie P
authors.initials: JP
authors.lastname: Levine
authors.affiliation: Department of Medicine, New York University-Langone Medical Center, New York, New York.
authors.forename: Alex
authors.initials: A
authors.lastname: Reyentovich
authors.affiliation: Department of Cardiothoracic Surgery, New York University-Langone Medical Center, New York, New York.
authors.forename: Abe
authors.initials: A
authors.lastname: DeAnda
authors.affiliation: Department of Cardiothoracic Surgery, New York University-Langone Medical Center, New York, New York.
authors.forename: Leora B
authors.initials: LB
authors.lastname: Balsam
mesh_terms: D009202:Cardiomyopathies / Q000601:surgery; D003646:Debridement; D005260:Female; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid; D011091:Polyesters; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012828:Silicones; D016896:Treatment Outcome
chemical_list: D011091:Polyesters; D012828:Silicones; C020542:velour