Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Transvenous Pacemaker Lead Removal in Pacemaker Lead Endocarditis with Large Vegetations: A Report of Two Cases

  • Cho, Hyunsoo (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Kim, Mihyun (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Uhm, Jae-Sun (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Pak, Hui-Nam (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Lee, Moon-Hyoung (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Joung, Boyoung (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine)
  • Received : 2013.07.11
  • Accepted : 2013.10.05
  • Published : 2014.02.28
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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.

Keywords

Acknowledgement

Supported by : National Research Foundation of Korea, Ministry of Health & Welfare

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Cited by

  1. Transvenous Lead Extraction vol.18, pp.4, 2017, https://doi.org/10.18501/arrhythmia.2017.029
  2. A Rare Entity–Percutaneous Lead Extraction in a Very Late Onset Pacemaker Endocarditis: Case Report and Review of Literature vol.11, pp.1, 2021, https://doi.org/10.3390/diagnostics11010096