Pacemaker Lead Endocarditis Combined with Rupture of Sinus Valsalva after Redo Aortic Valve Replacement.
- Author:
Man Jong BAEK
1
;
Chan Young NA
;
Sam Sae OH
;
Woong Han KIM
;
Sung Wook WHANG
;
Cheol LEE
;
Chang Hyun KANG
;
Yunhee CHANG
;
Won Min JO
;
Jae Hyun KIM
;
Hong Ju SEO
;
Chong Whan KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute, Pucheon, Kyounggi-do, Korea. koreaheartsurgeon@hotmail.com
- Publication Type:Case Report
- Keywords:
Pacemaker;
Endocarditis
- MeSH:
Aortic Valve*;
Debridement;
Diagnosis;
Echocardiography, Transesophageal;
Endocarditis*;
Fever;
Humans;
Middle Aged;
Rupture*;
Tricuspid Valve;
Viridans Streptococci
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(10):780-783
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pacemaker lead-related infective endocarditis is an uncommon, but serious complication. We report a case of a 45-year-old man who had symptom of intermittent high fever and rupture of sinus Valsalva that developed after a redo aortic valve replacement and transvenous permanent pacemaker implantation. Positive blood cultures of streptococcus viridans and transesophageal echocardiography showing a large mobile vegetation on pacemaker lead and tricuspid valve lead to the diagnosis of pacemaker lead-related infective endocarditis. Initial antibiotic therapy followed by surgical extraction of the pacemaker lead and wide debridement of infective tissues including multiple vegetations was required. Postoperative antibiotic therapy was continued for 4 weeks. The postoperative course has been uneventful. The patient is totally asymptomatic and is doing well up to now.
