A Successfully Treated Case of Microbial Endocarditis Due to Transvenous Pacemaker Infection Induced by Gastroduodenoscopy.
10.4326/jjcvs.26.175
- VernacularTitle:胃内視鏡を契機としたペースメーカー感染の１治験例
- Author:
Iwao Taniguchi
;
Takesi Yamaga
;
Yasuyuki Asida
;
Minoru Okada
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1997;26(3):175-178
- CountryJapan
- Language:Japanese
-
Abstract:
A 58-year-old woman, had received a transvenous permanent pacemaker was the subject of this study. Cervical phlegmon, induced by gastroduodenoscopy infected the tract of the transvenous pacemaker lead inserted into the left subclavian vein by the puncture method. Local management was unsuccessful, and consequently, microbial endocarditis developed with tricuspid valve vegetation. Removal of the entire system under cardiopulmonary bypass successfully eliminated the infection. It is neccesary that pacemaker patients undergoing procedures that may be associated with infections receive prophylactic antibiotics before such procedures. Patients with pacemaker infections should undergo aggressive total removal of the pacemaker system at an early stage of infection, particularly in cases with bacteremia.
