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Thorac Cardiovasc Surg 1998; 46(2): 105-106
DOI: 10.1055/s-2007-1010202
Case Report

© Georg Thieme Verlag Stuttgart · New York

Resection for CMV Ileitis in a Patient Supported by a Left-Ventricular Assist Device

I. Aleksic, M. M. Baryalei, B. Schorn, G. Stöhr1 , T. Busch, D. Zenker, J. Strauch, H. Dalichau
  • Department of Thoracic and Cardiovascular Surgery
  • 1Department of General Surgery, Georg-August University, Göttingen, Germany
Further Information

Publication History

1998

Publication Date:
19 March 2008 (online)

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Abstract

We describe a patient requiring a HeartMate 1000 IP leftventricular assist device (LVAD) due to cardiogenic shock. After prolonged gastrointestinal bleeding without identifying the source of bleeding technetium scintigraphy pointed to the right lower abdomen. The patient underwent a laparotomy and inflamed ileum was resected. Pathologie examination revealed cytomegalovirus ileitis. This was treated with ganciclovir and acyclovir. The patient is now (14 months later) awaiting heart transplantation since she could not be weaned from LVAD. The diagnostic and management problems are discussed as well as the relevance for future transplantation.

Key words

Left ventricular assist device - Cytomegalovirus - Bowel surgery - Heart transplantation