PMID- 18442726 OWN - NLM STAT- MEDLINE DCOM- 20080626 LR - 20171116 IS - 1557-3117 (Electronic) IS - 1053-2498 (Linking) VI - 27 IP - 5 DP - 2008 May TI - Successful bridge to transplant in a highly sensitized patient with a complicated pump pocket infection. PG - 568-71 LID - 10.1016/j.healun.2008.02.006 [doi] AB - A 32-year-old man with doxorubicin-induced cardiomyopathy presented in cardiogenic shock. He underwent placement of a Novacor (WorldHeart, Inc., Oakland, CA) left ventricular assist device as a bridge to transplant. Post-operatively he developed a pump pocket infection and dehiscence of his abdominal wound with exposure of the pump. This was treated with irrigation and drainage, antibiotic bead placement and flap closure. Both pre- and post-operative panel-reactive antibodies (PRA) were elevated. He underwent desensitization with intravenous immune globulin (IVIg), rituximab, mycophenolate mofetil and pre-operative plasmapheresis. A donor heart was identified and found to be acceptable by virtual crossmatch. He was transplanted and is doing well with normal graft function at >1 year post-operatively. FAU - McGee, Edwin C Jr AU - McGee EC Jr AD - Division of Cardiothoracic Surgery, Bluhm Cardiovascular Institute, Northwestern Memorial Hospital, 201 East Huron Street, Galter 11-140, Chicago, IL 60611, USA. emcgee@nmh.org FAU - Cotts, William AU - Cotts W FAU - Tambur, Anat R AU - Tambur AR FAU - Friedewald, John AU - Friedewald J FAU - Kim, John AU - Kim J FAU - O'Connell, John AU - O'Connell J FAU - Wallace, Suzanne AU - Wallace S FAU - McCarthy, Patrick M AU - McCarthy PM LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Heart Lung Transplant JT - The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation JID - 9102703 RN - 0 (Anti-Bacterial Agents) RN - 0 (Antibiotics, Antineoplastic) RN - 80168379AG (Doxorubicin) SB - IM MH - Adult MH - Anti-Bacterial Agents/administration & dosage MH - Antibiotics, Antineoplastic/adverse effects MH - Bone Neoplasms/drug therapy MH - Cardiomyopathies/chemically induced/*surgery MH - Doxorubicin/adverse effects MH - Drainage MH - Heart Transplantation/*immunology MH - Heart-Assist Devices/*adverse effects MH - Histocompatibility/immunology MH - Humans MH - Male MH - Osteosarcoma/drug therapy MH - Prosthesis-Related Infections/etiology/*therapy MH - Shock, Cardiogenic/surgery MH - Surgical Wound Dehiscence/etiology/therapy MH - Surgical Wound Infection/etiology/therapy MH - Therapeutic Irrigation MH - Transfusion Reaction MH - Treatment Outcome EDAT- 2008/04/30 09:00 MHDA- 2008/06/27 09:00 CRDT- 2008/04/30 09:00 PHST- 2007/11/01 00:00 [received] PHST- 2008/01/22 00:00 [revised] PHST- 2008/02/06 00:00 [accepted] PHST- 2008/04/30 09:00 [pubmed] PHST- 2008/06/27 09:00 [medline] PHST- 2008/04/30 09:00 [entrez] AID - S1053-2498(08)00139-3 [pii] AID - 10.1016/j.healun.2008.02.006 [doi] PST - ppublish SO - J Heart Lung Transplant. 2008 May;27(5):568-71. doi: 10.1016/j.healun.2008.02.006.