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Graft placement with an omental flap for ruptured infective common iliac aneurysm in a patient with a continuous flow left ventricular assist device: alternative surgical approach avoiding driveline injury and pathogen identification by 16S ribosomal DNA gene analysis

Journal of Artificial Organs volume 19, pages 383–386 (2016)Cite this article

Abstract

Patients supported by mechanical circulatory support have to wait for longer periods for heart transplantation in Japan. Infective events are a major complication and influence survival. Here, we present the case of a patient with an implantable left ventricular assist device for 6 months who had the complication of ruptured infective common iliac aneurysm. Graft placement with an omental flap was successfully performed via the alternative surgical approach to avoid percutaneous driveline injury. In samples of aortic specimens, 16S ribosomal DNA gene analysis identified Helicobacter cinaedi. Complete removal of the infected tissue and correct pathogen identification may have been relevant to the good clinical course.

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Authors and Affiliations

  1. Division of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, 1-1Seiryo-cho, Aoba-ku, Sendai, 980-8574, Japan

    Masatoshi Akiyama, Yukihiro Hayatsu, Ko Sakatsume, Hidenori Fujiwara, Kiichiro Kumagai, Shunsuke Kawamoto & Yoshikatsu Saiki

  2. Division of Advanced Surgical Science and Technology, Tohoku University Graduate School of Medicine, 1-1Seiryo-cho, Aoba-ku, Sendai, 980-8574, Japan

    Takuya Shimizu, Daijirou Akamatsu, Hitoshi Goto & Noriaki Ohuchi

  3. Division of Infection Control and Laboratory Diagnosis, Tohoku University Graduate School of Medicine, 1-1Seiryo-cho, Aoba-ku, Sendai, 980-8574, Japan

    Risako Kakuta, Yoshiaki Gu & Mitsuo Kaku

Authors
  1. Masatoshi Akiyama
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  2. Yukihiro Hayatsu
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  3. Ko Sakatsume
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  4. Hidenori Fujiwara
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  6. Daijirou Akamatsu
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  7. Risako Kakuta
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  8. Yoshiaki Gu
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  9. Mitsuo Kaku
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  10. Kiichiro Kumagai
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  11. Shunsuke Kawamoto
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  12. Hitoshi Goto
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  13. Noriaki Ohuchi
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  14. Yoshikatsu Saiki
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Corresponding author

Correspondence to Masatoshi Akiyama.

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Akiyama, M., Hayatsu, Y., Sakatsume, K. et al. Graft placement with an omental flap for ruptured infective common iliac aneurysm in a patient with a continuous flow left ventricular assist device: alternative surgical approach avoiding driveline injury and pathogen identification by 16S ribosomal DNA gene analysis. J Artif Organs 19, 383–386 (2016). https://doi.org/10.1007/s10047-016-0916-7

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  • DOI: https://doi.org/10.1007/s10047-016-0916-7

Keywords

  • Ventricular assist device
  • Infection
  • Mycotic aneurysm
  • 16S ribosomal DNA gene analysis