Driveline transposition with omentoplasty in a patient supported with a left ventricular assist device

Major infections remain a leading cause of readmission and reduced quality of life in patients with a durable left ventricular assist device. The driveline exit site is most commonly affected, and surgical management of severe driveline infections becomes necessary when conservative therapy of intensified dressing changes and antibiotic therapy fails. We present a standardized approach involving the transposition of the driveline with subsequent omentoplasty. The procedure aims to eradicate chronic infection, reduce microbial reservoirs by removing velour coverings and leverage the omentum's anti-inflammatory properties.