Pexy of intraperitoneal LVAD driveline to relieve small bowel obstruction

Cresse, Stephen M.; Urréchaga, Eva M.; Cioci, Alessia C.; Banerjee, Monisha N.; Cahill, Anthony; Lieberman, Howard

doi:10.1111/jocs.14398

Cited by 2 publications

(2 citation statements)

References 5 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although LVAD technologies and surgical techniques continue to improve, there are significant complications associated with LVAD placement including bleeding, infection, pump thrombosis, right heart failure, device malfunction and stroke [ 2 ]. There are rare reports of intra-abdominal complications of LVAD placement including bowel obstruction, perforation, fistula formation and hernia occurrence [ 3 , 4 ]. The case below illustrates intraperitoneal driveline placement causing colonic perforation and the subsequent management.…”

Section: Introductionmentioning

confidence: 99%

Colonic perforation due to inadvertent intraperitoneal LVAD driveline placement

Shnaydman¹,

Abdelhamid²,

Kaufman³

et al. 2020

J Cardiothorac Surg

View full text Add to dashboard Cite

Background: Left ventricular assist devices (LVAD) are placed for patients with advanced heart failure or cardiogenic shock as destination therapy or as a bridge to cardiac transplantation. Significant complications associated with LVAD placement include bleeding, infection, pump thrombosis, right heart failure, device malfunction and stroke. The case below illustrates inadvertent intraperitoneal driveline placement causing colonic perforation and the subsequent management. Case presentation: A 54 year old male with a history of Wolff-Parkinson-White syndrome resulting in multiple readmissions for heart failure, ultimately required placement of a left ventricular assist device (LVAD). Several weeks later, he was found to have stool draining from the driveline site. The patient was taken to the operating room for limited exploration by the Cardiothoracic Surgery team and a bowel injury was identified and repaired. Three days after this repair, stool was once again leaking from the driveline site, requiring re-exploration by the Acute Care Surgery team. Intraoperatively, the prior repair was found to be leaking and multiple intra-abdominal abscesses were discovered. The transverse colon was resected and left in discontinuity. On a planned second look operation, the LVAD driveline was relocated to be extra-peritoneal and a colostomy was formed. Discussion and conclusion: This case demonstrates the importance of early recognition and involvement of an Acute Care Surgeon in the management of this complex problem. Appropriate treatment involves a complete exploration, source control, driveline relocation and possible fecal diversion. Although the incidence of this complication is low, it must be considered in the differential in a septic LVAD patient.

show abstract

Section: Introductionmentioning

confidence: 99%

Colonic perforation due to inadvertent intraperitoneal LVAD driveline placement

Shnaydman¹,

Abdelhamid²,

Kaufman³

et al. 2020

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

“…In contrast, the T cell titers (NK cells, T cells, mDCs, and pDCs cells) were lower than that in asymptomatic. Previous studies have reported detrimental effects of the IFN response, including its inflammatory role by recruiting more immune cells to the lungs to disrupt lung epithelial repair and the pulmonary epithelial barrier ( 7 , 8 ) and suppressing pathway-related T cell functions ( 9 ) during severe COVID-19. Hence, this study by Xu et al.…”

mentioning

confidence: 99%

Editorial: Host-microbe interaction in SARS-CoV-2 infection: mechanism and intervention

Kombe

Jin

2023

Front. Immunol.

View full text Add to dashboard Cite

Editorial on the Research TopicHost-microbe interaction in SARS-CoV-2 infection: mechanism and intervention Since December 2019, the world has experienced a nightmare due to the new Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) causing the deadliest coronavirus disease known as COVID-19. This severe disease is characterized by metabolic acidosis, acute respiratory distress syndrome (ARDS), septic shock, and multiple organ dysfunction. Lacking specific treatment to contain the rapid infection spread and mitigate the disease burden, we have accumulated knowledge to understand the virus biology, its interactions with host cells, undelaying mechanisms of infection, the pathophysiology, and the immune response to the virus. However, because of the complexity of these aspects, especially the molecular interactions between SARS-CoV-2 and the host immune system, which are crucial for the successful therapeutic design, our knowledge is still limited, rendering the pandemic management challenging, talk less of the evolutionary nature of SARS-CoV-2.This Research Topic aimed to gather novel findings and up-to-date conclusive studies from multidisciplinary expertise regarding the uncovered aspects of SARS-CoV-2-host cell interaction, which we believe, might bring light to developing effective prophylaxis and therapeutic interventions. This collection of 13 insightful studies can be put along a continuum to illustrate the immunological and molecular mechanisms underlying the COVID-19 severity, the progression of COVID-19 from the early stage board that features the later severity of the infection establishing the diverse immunological markers, and, therefore, the alternative means proposed to control the disease.One of the major concerns (if not the first) in COVID-19 fighting strategies is the continuous emergence of new SARS-CoV-2 variants, especially the variants of concern Frontiers in Immunology frontiersin.org 01

show abstract

Pexy of intraperitoneal LVAD driveline to relieve small bowel obstruction

Cited by 2 publications

References 5 publications

Colonic perforation due to inadvertent intraperitoneal LVAD driveline placement

Colonic perforation due to inadvertent intraperitoneal LVAD driveline placement

Editorial: Host-microbe interaction in SARS-CoV-2 infection: mechanism and intervention

Contact Info

Product

Resources

About