• J. Cardiothorac. Vasc. Anesth. · Oct 2017

    Review

    Healthcare-Associated Mycobacterium chimaera Infection Subsequent to Heater-Cooler Device Exposure During Cardiac Surgery.

    • Allen Ninh, Menachem Weiner, and Andrew Goldberg.
    • Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: Allen.Ninh@icahn.mssm.edu.
    • J. Cardiothorac. Vasc. Anesth. 2017 Oct 1; 31 (5): 1831-1835.

    AbstractA SERIES of reports in the United States and Europe have linked Mycobacterium chimaera infections to contaminated heater-cooler devices used during cardiac surgery. Heater-cooler devices commonly are used for cardiopulmonary bypass during cardiac surgery. M. chimaera is a slow-growing nontuberculous mycobacterium that has been shown to cause cardiac complications that can lead to fatal disease following cardiac surgery. Given that more than 250,000 cardiothoracic surgical procedures requiring cardiopulmonary bypass take place each year in the United States, the estimated number of patient exposures to M. chimaera has prompted a public health crisis. The goal of this review is to summarize the present status of the M. chimaera outbreak and provide cardiothoracic surgeons, cardiac anesthesiologists, and other clinicians with current approaches to patient management and to discuss risk mitigation.Copyright © 2017 Elsevier Inc. All rights reserved.

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