On (b)(6) 2016, pt underwent an aortic valve replacement and coronary artery bypass graft procedure for severe aortic stenosis.On 10/13/2016, cdc published a health advisory: cdc advises hospitals to alert pts at risk from contaminated heater-cooler devices during cardiac surgery.At the time of the cdc evaluation we had 4 heater-cooler units, one of which (#3), was thought to be at greatest risk due to the date of manufacture.The pt diagnosed with m.Chimaera infection was operated on (b)(6) of 2016 with use of machine #3.Late in the fall of 2017, the pt developed failure-to-thrive, hypoglycemia and experienced falls.Work up included a bone marrow biopsy performed on (b)(6) 2017 due to progressive pancytopenia and presumed diagnosis of myelodysplastic syndrome.Pt had chronic anemia due to esrd and had leukopenia observed prior to his aortic valve replacement.Unfortunately, he experienced progressive deterioration and opted for palliative care.His bone marrow study revealed non-necrotizing granuloma on (b)(6) 2017 and he died on (b)(6) 2017.
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