Abstract

table 1. Three cases of postoperative bleeding requiring surgical revision were recorded: 2 of intraabdominal and 1 of wound bleeding. Eight patients (47%) were discharged from hospital; one is still hospitalized. Five patients were free from infection on hospital discharge; 1 of them experienced recurrent infection (driveline) within the first year. Median intensive care unit stay was 13 (0 182) days, and median hospital stay 18 (1 182) days. Conclusion: Surgical treatment of mediastinitis after VAD implantation with omentoplasty is effective in an otherwise dead-end situation. Bleeding should be meticulously controlled in anticoagulated and fragile patients.

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