RESECTION FOR CMV ILEITIS IN A PATIENT SUPPORTED BY A LEFT-VENTRICULAR ASSIST DEVICE

Authors
ALEKSIC I BARYALEI MM SCHORN B STOHR G BUSCH T ZENKER D STRAUCH J DALICHAU H
Citation
I. Aleksic et al., RESECTION FOR CMV ILEITIS IN A PATIENT SUPPORTED BY A LEFT-VENTRICULAR ASSIST DEVICE, The thoracic and cardiovascular surgeon, 46(2), 1998, pp. 105-106
Citations number
7
Categorie Soggetti
Cardiac & Cardiovascular System",Surgery
Journal title
The thoracic and cardiovascular surgeon → ACNP
ISSN journal
01716425
Volume
46
Issue
2
Year of publication
1998
Pages
105 - 106
Database
ISI
SICI code
0171-6425(1998)46:2<105:RFCIIA>2.0.ZU;2-5
Abstract
We describe a patient requiring a HeartMate 1000 IP left-ventricular a ssist device (LVAD) due to cardiogenic shock. After prolonged gastroin testinal bleeding without identifying the source of bleeding technetiu m scintigraphy pointed to the right lower abdomen. The patient underwe nt a laparotomy and inflamed ileum was resected. Pathologic examinatio n revealed cytomegalovirus ileitis. This was treated with ganciclovir and acyclovir. The patient is now (14 months later) awaiting heart tra nsplantation since she could not be weaned from LVAD. The diagnostic a nd management problems are discussed as well as the relevance for futu re transplantation.