1.Clinical Usefulness of Transesophageal Echocardiography in Detecting Infections of Implanted Intracardiac Electrodes:3 Cases of Electrodes Related Infective Endocarditis.
Miyoung PARK ; Wanjoo SHIM ; Sunghee SHIN ; Hongeuy LIM ; Jungwho CHOI ; Huinam PAK ; Dosun LIM ; Younghoon KIM ; Youngmoo RO
Journal of the Korean Society of Echocardiography 2004;12(2):87-90
Vegetative electrode infection after implantation of permanent pacemaker or defibrillator is an uncommon but a serious complication. Diagnosis of the lead infection is particularly important since surgical manipulation is usually required for its treatment. We present 3 cases of electrodes related infective endocarditis among the 154 patients who implanted pacemaker or defibrillator between 2001 and 2004 in Korea university hospital. These complications were difficult to diagnose because of ambiguous clinical manifestations and indeterminate transthoracic echocardiographic (TTE) findings and were finally confirmed by transesophageal echocardiography (TEE).
Defibrillators
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Diagnosis
;
Echocardiography
;
Echocardiography, Transesophageal*
;
Electrodes*
;
Endocarditis*
;
Humans
;
Korea
;
Pacemaker, Artificial
2.Two Cases of High Output Heart Failure Caused by Hereditary Hemorrhagic Telangiectasia.
Donghyuk CHO ; Sua KIM ; Mina KIM ; Young Ho SEO ; Woohyeun KIM ; Seong Hee KANG ; Sung Mi PARK ; Wanjoo SHIM
Korean Circulation Journal 2012;42(12):861-865
High-output cardiac failure is a rare complication of hereditary hemorrhagic telangiectasia (HHT) usually caused by shunting of blood through atriovenous malformations (AVMs) in the liver. We describe two cases of high output heart failure due to large hepatic AVMs. Clinical suspicion of HHT based on detailed history taking and physical examination is essential for early detection and proper management of heart failure associated with HHT.
Heart
;
Heart Failure
;
Liver
;
Physical Examination
;
Telangiectasia, Hereditary Hemorrhagic