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Asghar Khaghani
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Right arrow Transplantation - heart

Ann Thorac Surg 2006;82:715-716
© 2006 The Society of Thoracic Surgeons

Case report

Acinetobacter Mediastinitis in a Heart Transplant Patient

Robert S. George, BS, MRCS, BMa, Emma J. Birks, MRCP, PhDa, Saleem Haj-Yahia, MDb, Christopher T. Bowles, PhDa, Anne Hall, MRCPPathc, Asghar Khaghani, (FRCS)b, Mario Petrou, PhD, FRCS(CTh)b,*

a Department of Artificial Heart and Transplant, Royal Brompton and Harefield NHS Trust, Harefield, Middlesex
b Department of Cardiothoracics Surgery and Transplant, Royal Brompton and Harefield NHS Trust, Harefield, Middlesex
c Department of Microbiology, Royal Brompton and Harefield NHS Trust, Harefield, Middlesex

Accepted for publication November 4, 2005.

* Address correspondence to Dr Petrou, Royal Brompton and Harefield NHS Trust, Sydney St, London, SW3 6NP United Kingdom (Email: m.petrou{at}rbh.nthames.nhs.uk).

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.






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