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KMID : 1812420230560020147
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Journal of Chest Surgery
2023 Volume.56 No. 2 p.147 ~ p.150
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Management of Cannula Wound Problems with Vacuum-Assisted Therapy for a Child Who Received Berlin Heart EXCOR Implantation
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Oh Si-Won
Kim Shin
Yang Ji-Hyuk
Roh Young-Jin
Park Il-Kun
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Abstract
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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.
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KEYWORD
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Pediatric, Berlin Heart, Left ventricular assist device, Cannula, Wound closure techniques
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