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Ann Thorac Surg 2003;76:1719-1720
© 2003 The Society of Thoracic Surgeons

Case report

Successful treatment of vancomycin resistant Enterococcus faecium mediastinitis associated with left ventricular assist devices

Preeti N. Malani, MDa, David B. S. Dyke, MDb, Francis D. Pagani, MD, PhDa,c, Wendy S. Armstrong, MDa, Carol E. Chenoweth, MDa,d*

a department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan, USA
b department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan, USA
c department of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA
d department of Infection Control and Epidemiology, University of Michigan Health System, Ann Arbor, Michigan, USA

Accepted for publication March 17, 2003.

* Address reprint requests to Dr Chenoweth, Division of Infectious Diseases, University of Michigan Health System, 1500 E Medical Center Dr, Room 3116, Ann Arbor, MI, USA 48109-0378
e-mail: cchenow{at}umich.edu

We present 2 cases of vancomycin-resistant Enterococcus faecium mediastinitis associated with left ventricular assist devices in the setting of heart transplantation. Despite complicated operative courses and deep infection secondary to antimicrobial resistant organisms, both patients were successfully treated and have remained infection free in the long term.






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