i
Report an error   
Advanced Search


I.E. : Illegal entry (a case of pacemaker endocarditis).

Author

Related Institution

Division of Adult Cardiology - Philippine Heart Center

Publication Information

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Heart Center Journal
Frequency
Semi-Annual
Publication Date
January-April 2012
Volume
16
Page(s)
55-57

Abstract

Background: Pacemaker endocarditis is a rare complication seen in patients with implanted pacemaker.


Case: We present a 70 year old female presenting with unremitting fever and chills for three months. She previously had pacemaker implantation for severe bradycardia. Transesophageal echocardiography showed large bilobed fluttering echogenic density attached to the pacemaker wire at the right atrial side prolapsing to the right ventricular inflow during diastole suggestive of vegetation. She underwent removal of right atrial and right ventricular lead; explantation of previously placed pulse generator; permanent pacemaker insertion (epicardial bed) and antibiotic therapy.


Conclusion: Pacemaker endocarditis should be suspected in patients who previously had pacemaker implantation and presenting with signs of endocarditis. Transesophageal echocardiography is the preferred imaging. Antibiotic therapy and surgical management are mainstays of treatment.

References

1. ,

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library Fulltext Print Format
Philippine Council for Health Research and Development Fulltext pdf (Request Document)

 
Loading…
©2022 HERDIN PLUS. All rights reserved. | Contact Us | Keep up to date