TY - JOUR
T1 - Transvenous pacemaker lead removal in pacemaker lead endocarditis with large vegetations
T2 - A report of two cases
AU - Cho, Hyunsoo
AU - Kim, Mihyun
AU - Uhm, Jae Sun
AU - Pak, Hui Nam
AU - Lee, Moon Hyoung
AU - Joung, Boyoung
PY - 2014/3
Y1 - 2014/3
N2 - Pacemaker lead endocarditis is treated with total removal of the infected device and proper antibiotics. The outcomes of patients undergoing percutaneous lead extraction for large vegetations (>2 cm) have not yet been shown. In this case report, we present two patients with pacemaker lead endocarditis with large vegetations of maximum diameter 2.4 cm and 3.2 cm. The first patient had multiple vegetations attached to the tricuspid and mitral valves and developed septic emboli to the brain, lung, and liver. The second patient had a large, persistent vegetation on the tricuspid valve, even two weeks after complete removal of the leads. Both patients were successfully treated with transvenous pacemaker lead removal and antibiotics.
AB - Pacemaker lead endocarditis is treated with total removal of the infected device and proper antibiotics. The outcomes of patients undergoing percutaneous lead extraction for large vegetations (>2 cm) have not yet been shown. In this case report, we present two patients with pacemaker lead endocarditis with large vegetations of maximum diameter 2.4 cm and 3.2 cm. The first patient had multiple vegetations attached to the tricuspid and mitral valves and developed septic emboli to the brain, lung, and liver. The second patient had a large, persistent vegetation on the tricuspid valve, even two weeks after complete removal of the leads. Both patients were successfully treated with transvenous pacemaker lead removal and antibiotics.
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U2 - 10.4070/kcj.2014.44.2.118
DO - 10.4070/kcj.2014.44.2.118
M3 - Article
AN - SCOPUS:84897407605
SN - 1738-5520
VL - 44
SP - 118
EP - 121
JO - Korean Circulation Journal
JF - Korean Circulation Journal
IS - 2
ER -