J Korean Soc Echocardiogr.  2001 Jun;9(1):70-74.

Infected Endocarditis Related Pacemaker leads: A Case Report

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Pusan National University, Pusan, Korea.
  • 2Department of Thoracic surgery, College of Medicine, Pusan National University, Pusan, Korea.

Abstract

The infected endocarditis related permanent pacemaker occurs rare and most of them occur at generator pocket but endocarditis related permanant pacemaker lead itself occurs very rarely. The rate of infection after pacemaker implantation is reported as 0.13-7% or 0.13-19.9% and mortality rate is up to 24-33%. Focal inflammation of generator pocket is easily detected but it is difficult to diagnose endocarditis related pacemaker lead and it has poor prognosis. Especially, early diagnosis is most important because endocarditis related pacemaker is fatal. Thirteen years ago, a womon was inserted the permanent pacemaker and then only generator was removed after one month. We report a case that we had removed the pacemaker lead by open thoracostomy and cardiopulmonary circulation to treat endocarditis related pacemaker lead.

Keyword

Endocarditis; Pacemaker lead; Pacemaker lead infection; Pacemaker endocarditis

MeSH Terms

Early Diagnosis
Endocarditis*
Inflammation
Mortality
Prognosis
Thoracostomy
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