Transvenous pacemaker lead removal in pacemaker lead endocarditis with large vegetations: A report of two cases

Hyunsoo Cho, Mihyun Kim, Jae Sun Uhm, Hui Nam Pak, Moon Hyoung Lee, Boyoung Joung

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)118-121
Number of pages4
JournalKorean Circulation Journal
Volume44
Issue number2
DOIs
Publication statusPublished - 2014 Mar

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Endocarditis
Tricuspid Valve
Device Removal
Anti-Bacterial Agents
Intracranial Embolism
Mitral Valve
Lung
Liver
Lead

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Transvenous pacemaker lead removal in pacemaker lead endocarditis with large vegetations: A report of two cases",
abstract = "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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Transvenous pacemaker lead removal in pacemaker lead endocarditis with large vegetations : A report of two cases. / Cho, Hyunsoo; Kim, Mihyun; Uhm, Jae Sun; Pak, Hui Nam; Lee, Moon Hyoung; Joung, Boyoung.

In: Korean Circulation Journal, Vol. 44, No. 2, 03.2014, p. 118-121.

Research output: Contribution to journalArticle

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