Patient diagnosed with a driveline infection on (b)(6) 2020.Admitted for further evaluation.Taken to the operating room on (b)(6) 2020 for a debridement of the driveline exit site which showed infection tracking into the chest and possibly towards the lvad pump.Initial plans to perform a pump exchange were halted in light of the patients improved ef of 50-55% and the potential for pump explant.Vad speed decreased prior to discharge.Patient did not tolerate vad weaning as evidenced by a drop in ef to 15-20% on (b)(6) 2020.Decision was made to perform a pump exchange with an icd extraction prior to the exchange.Patient admitted (b)(6) 2020 for icd extraction however patient was discharged to home due to a positive covid-19 result.Patient admitted on (b)(6) 2021 for icd extraction which was successful.The patient was taken to the operating room on (b)(6) 2021 for a heartmate 3 pump exchange.During the surgery the surgeon noted there was no extension of the infection towards the lvad pump or outflow graft.Surgery went well.The patient is currently recovering on our telemetry unit.Fda safety report id# (b)(4).
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