Journal of the Korean Society of Echocardiography  2004;12(2):87-90

Clinical Usefulness of Transesophageal Echocardiography in Detecting Infections of Implanted Intracardiac Electrodes:3 Cases of Electrodes Related Infective Endocarditis.

Miyoung PARK 1 ; Wanjoo SHIM ; Sunghee SHIN ; Hongeuy LIM ; Jungwho CHOI ; Huinam PAK ; Dosun LIM ; Younghoon KIM ; Youngmoo RO

Affiliations

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Keywords

Echocardiograpy, transesophageal; Pacemaker, artificial; Endocarditis

Country

Republic of Korea

Language

Korean

Abstract

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).