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Stomach Pierced by Apical Cuff late after Removal of Toyobo Assist Device

Department of Cardiothoracic Surgery Faculty of Medicine, University of Tokyo Tokyo, Japan

Kan Nawata, PhD Tel: +81 3 5800 8654 Fax: +81 3 5684 3989 Email: knawata-tky{at}umin.ac.jp, Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.

A 38-year-old woman suffering from dilated cardiomyopathy underwent successful removal of a Toyobo left ventricular assist device after 11 months of support. Four months later, discharge of pus from the skin resulted from the contaminated residual apical cuff. The purulence stopped spontaneously 16 months later, but halitosis then developed. Two weeks later, fever and hematemesis occurred. Emergency surgery revealed gastric perforation by the apical cuff, which was removed under cardiopulmonary bypass.

Key Words: Cardiomyopathy • Dilated • Gastric Fistula • Heart-Assist Devices

Asian Cardiovasc Thorac Ann 2010; 18:74-76
© 2010 by SAGE Publications
DOI: 10.1177/0218492309352537