A Case Report of a LVAD Driveline Infection Diagnosed by Point-of-care Ultrasound

一例通过床旁超声诊断的左心室辅助装置驱动线感染病例报告

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Abstract

INTRODUCTION: As the prevalence of patients with left ventricular assist devices (LVAD) presenting to the emergency department (ED) increases, clinicians must be aware of LVAD-associated infections. CASE REPORT: A well-appearing, 41-year-old male with history of heart failure status post prior-LVAD placement presented to the ED for swelling of his chest. What appeared initially as a superficial infection was further assessed with point-of-care ultrasound and found to represent a chest wall abscess involving the driveline, ultimately resulting in sternal osteomyelitis and bacteremia. CONCLUSION: Point-of-care ultrasound should be considered an important tool in the initial assessment of potential LVAD-associated infection.

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