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

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...

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Bibliographic Details
Main Authors: Nicholas Bielawa, Allison Cohen, Milan Patel, Brendon Stankard, Mathew J. Nelson
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2023-05-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/21k1g21m
Description
Summary: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.
ISSN:2474-252X