Heartmate 3 left ventricular assist device (lvad) was admitted with the fourth hospitalization for lvad-related infection with relapse bacteremia and septic shock.The patient required vasopressors and intensive care unit level of care, only 2 weeks after previous iv antibiotic course ended.Culture confirmed the current isolate was sensitive to zosyn, so patient was discharged after 2 week hospitalization with planned iv antibiotic course.No surgery required during this hospitalization.Patient is not a candidate for lvad exchange due to high risk.Goals of care discussions initiated, and patient desire all interventions/measures possible to extend life.
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