Spanish 
Chinese 
Russian 
German 
French 
Japanese 
Portuguese 
Hindi Case Report
Complicative Extraction Lead of an Infected Pacemaker
| Clara Bonanad*, Maite Izquierdo, Angel Ferrero, Angel Martínez, Juan Miguel Sánchez and Ricardo Ruiz-Granell | |
| Department of Cardiology, Hospital Clinico y Universitario de Valencia, Universidad de Valencia, ICLIVA Blasco Ibanez 1746010, Valencia, Spain | |
| Corresponding Author : | Clara Bonanad Department of Cardiology Hospital Clinico y Universitario de Valencia Universidad de Valencia ICLIVA Blasco Ibanez 1746010–Valencia, Spain Tel: +34 96 3862658 Fax: +34 96 3862658 E-mail: clarabonanad@gmail.com |
| Received August 28, 2013; Accepted September 26, 2013; Published September 30, 2013 | |
| Citation: Bonanad C, Izquierdo M, Ferrero A, Martínez A, Sánchez JM (2013) Complicative Extraction Lead of an Infected Pacemaker. OMICS J Radiology 2:146 doi: 10.4172/2167-7964.1000146 | |
| Copyright: © 2013 Bonanad C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
Abstract
Endocarditis in Cardiac Devices (CD), either permanent pacemakers or implantable cardioverter defibrillators, is a severe disease associated with high mortality. The increasing number of patients with implanted cardiac devices explains the rising frequency of endocarditis. The treatment includes medical therapy with complete removal of CD either by surgery or percutaneous extraction depending on the size of vegetation, but there are no clear guidelines about the management of patient with intermediate size vegetations and significant associated comorbidity. We present a case of a 69 year-old man with significant comorbidity and dilated ischemic cardiomyopathy with moderately depressed Left Ventricular Ejection Fraction (LVEF), with a single pass VDD pacemaker presenting with adhered vegetation in the auricular surface of the lead.Endocarditis in Cardiac Devices (CD), either permanent pacemakers or implantable cardioverter defibrillators, is a severe disease associated with high mortality. The increasing number of patients with implanted cardiac devices explains the rising frequency of endocarditis. The treatment includes medical therapy with complete removal of CD either by surgery or percutaneous extraction depending on the size of vegetation, but there are no clear guidelines about the management of patient with intermediate size vegetations and significant associated comorbidity. We present a case of a 69 year-old man with significant comorbidity and dilated ischemic cardiomyopathy with moderately depressed Left Ventricular Ejection Fraction (LVEF), with a single pass VDD pacemaker presenting with adhered vegetation in the auricular surface of the lead.
