Acinetobacter mediastinitis in a heart transplant patient.
We report a 56-year-old who underwent orthotopic heart transplantation following left ventricular assist device bridge to transplantation. His postoperative course was complicated by severe sternal wound infection with Acinetobacter species requiring extensive debridement and reconstruction with a pectoralis major flap. This was followed by a total sternectomy, pectoralis flap debridement, and vacuum-assisted dressing.
George
Robert S
RS
Department of Artificial Heart and Transplant, Royal Brompton and Harefield NHS Trust, Harefield, Middlesex, United Kingdom.
Birks
Emma J
EJ
Haj-Yahia
Saleem
S
Bowles
Christopher T
CT
Hall
Anne
A
Khaghani
Asghar
A
Petrou
Mario
M
D000150:Acinetobacter / Q000302:isolation & purification; D000151:Acinetobacter Infections / Q000188:drug therapy / Q000209:etiology*; D000328:Adult; D003646:Debridement; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000188:drug therapy / Q000209:etiology*; D008875:Middle Aged; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000209:etiology*