Diagnosis and management of left ventricular assist device valve-endocarditis: LVAD valve replacement

Authors
de Jonge, KC Laube, HR Dohmen, PM Ivancevic, V Konertz, WF
Citation
Kc. De Jonge et al., Diagnosis and management of left ventricular assist device valve-endocarditis: LVAD valve replacement, ANN THORAC, 70(4), 2000, pp. 1404-1405
Citations number
6
Categorie Soggetti
Cardiovascular & Respiratory Systems","Medical Research Diagnosis & Treatment
Journal title
ANNALS OF THORACIC SURGERY
ISSN journal
00034975 → ACNP
Volume
70
Issue
4
Year of publication
2000
Pages
1404 - 1405
Database
ISI
SICI code
0003-4975(200010)70:4<1404:DAMOLV>2.0.ZU;2-D
Abstract
A 57-year-old man who has been wearing a Novacor N100 left ventricular assi st device (LVAD) for more than 3 years suffered from LVAD endocarditis. Onl y by immunoscintigraphic methods was it possible to localize the septic foc us. After successful exchange of in- and outflow tract valves, the infectio n was eradicated. Microscopic investigation confirmed the scintigraphic fin dings: Gram-positive bacteria were found. The valves showed no gross degene rative lesions after more than 1,100 days of implantation. The patient is n ow doing well. (C) 2000 by The Society of Thoracic Surgeons.