The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 3 , Pages 712-717 , September 2009

Preventing heart injury during negative pressure wound therapy in cardiac surgery: Assessment using real-time magnetic resonance imaging

  • Malin Malmsjö, MD, PhD

      Affiliations

    • Department of Medicine, Lund University Hospital, Lund, Sweden
    • Corresponding Author InformationAddress for reprints: Malin Malmsjö, MD, PhD, Vascular Research, Lund University, BMC A13, SE-221 84 Lund, Sweden.
    • ,
  • Rainer Petzina, MD

      Affiliations

    • Department of Medicine, Lund University Hospital, Lund, Sweden
    • Deutsches Herzzentrum Berlin, Berlin, Germany
    • ,
  • Martin Ugander, MD, PhD

      Affiliations

    • Department of Clinical Physiology, Lund University Hospital, Lund, Sweden
    • ,
  • Henrik Engblom, MD, PhD

      Affiliations

    • Department of Clinical Physiology, Lund University Hospital, Lund, Sweden
    • ,
  • Christian Torbrand, MD

      Affiliations

    • Department of Medicine, Lund University Hospital, Lund, Sweden
    • ,
  • Arash Mokhtari, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, Lund University Hospital, Lund, Sweden
    • ,
  • Roland Hetzer, MD, PhD

      Affiliations

    • Deutsches Herzzentrum Berlin, Berlin, Germany
    • ,
  • Håkan Arheden, MD, PhD

      Affiliations

    • Department of Clinical Physiology, Lund University Hospital, Lund, Sweden
    • ,
  • Richard Ingemansson, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, Lund University Hospital, Lund, Sweden

Received 3 January 2008 ,Revised 9 September 2008 ,Accepted 16 November 2008.

References 

  1. Argenta LC, Morykwas MJ, Marks MW, DeFranzo AJ, Molnar JA, David LR. Vacuum-assisted closure: state of clinic art. Plast Reconstr Surg. 2006;117(7 Suppl):127S–142S
  2. Banwell P, Teot L. Topical negative pressure (TNP): the evolution of a novel wound therapy. J Tissue Viability. 2006;16:16–24
  3. Obdeijn MC, de Lange MY, Lichtendahl DH, de Boer WJ. Vacuum-assisted closure in the treatment of poststernotomy mediastinitis. Ann Thorac Surg. 1999;68:2358–2360
  4. Crabtree TD, Codd JE, Fraser VJ, Bailey MS, Olsen MA, Damiano RJ. Multivariate analysis of risk factors for deep and superficial sternal infection after coronary artery bypass grafting at a tertiary care medical center. Semin Thorac Cardiovasc Surg. 2004;16:53–61
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  6. Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997;38:563–576discussion 577
  7. Clare MP, Fitzgibbons TC, McMullen ST, Stice RC, Hayes DF, Henkel L. Experience with the vacuum assisted closure negative pressure technique in the treatment of non-healing diabetic and dysvascular wounds. Foot Ankle Int. 2002;23:896–901
  8. Domkowski PW, Smith ML, Gonyon DL, Drye C, Wooten MK, Levin LS, et al. Evaluation of vacuum-assisted closure in the treatment of poststernotomy mediastinitis. J Thorac Cardiovasc Surg. 2003;126:386–390
  9. Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg. 1997;38:553–562
  10. Malmsjö M, Ingemansson R, Sjögren J. Mechanisms governing the effects of vacuum-assisted closure in cardiac surgery. Plast Reconstr Surg. 2007;120:1266–1275
  11. Abu-Omar Y, Naik MJ, Catarino PA, Ratnatunga C. Right ventricular rupture during use of high-pressure suction drainage in the management of poststernotomy mediastinitis. Ann Thorac Surg. 2003;76:974;author reply 974-5
  12. Sartipy U, Lockowandt U, Gabel J, Jideus L, Dellgren G. Cardiac rupture during vacuum-assisted closure therapy. Ann Thorac Surg. 2006;82:1110–1111
  13. Conquest AM, Garofalo JH, Maziarz DM, Mendelson KG, Su Sun Y, Wooden WA, et al. Hemodynamic effects of the vacuum-assisted closure device on open mediastinal wounds. J Surg Res. 2003;115:209–213
  14. Petzina R, Ugander M, Gustafsson L, Engblom H, Sjogren J, Hetzer R, et al. Hemodynamic effects of vacuum-assisted closure therapy in cardiac surgery: assessment using magnetic resonance imaging. J Thorac Cardiovasc Surg. 2007;133:1154–1162
  15. Wackenfors A, Gustafsson R, Sjogren J, Algotsson L, Ingemansson R, Malmsjo M. Blood flow responses in the peristernal thoracic wall during vacuum-assisted closure therapy. Ann Thorac Surg. 2005;79:1724–1730discussion 1730-1

 This study was supported by the Åke Wiberg Foundation, the M. Bergvall Foundation, the Swedish Medical Association, the Royal Physiographic Society in Lund, the Swedish Medical Research Council, the Crafoord Foundation, the Swedish Heart-Lung Foundation, Lund University Faculty of Medicine, the Swedish Government Grant for Clinical Research and the Swedish Hypertension Society.

PII: S0022-5223(09)00480-2

doi: 10.1016/j.jtcvs.2008.11.068

The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 3 , Pages 712-717 , September 2009

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