Surgical Extraction of a Huge Pacemaker Lead Vegetation Causing Infective Endocarditis

Authors

  • SMA Zulkernine Palash Department of Cardiovascular and Thoracic Surgery, Apollo Hospitals, Dhaka, Bangladesh
  • Mohammad Delwar Hossain Department of Cardiovascular and Thoracic Surgery, Apollo Hospitals, Dhaka, Bangladesh
  • Tamjid Mohammad Najmus Sakib Khan Department of Cardiovascular and Thoracic Surgery, Apollo Hospitals, Dhaka, Bangladesh
  • Thahera Meher Department of Cardiovascular and Thoracic Surgery, Apollo Hospitals, Dhaka, Bangladesh
  • Md Kamrul Hassan Department of Cardiovascular and Thoracic Surgery, Apollo Hospitals, Dhaka, Bangladesh
  • Saiful Islam Khan Department of Cardiothoracic Anesthesia, Apollo Hospitals, Dhaka, Bangladesh
  • Niaz Ahmed Department of Cardiothoracic Anesthesia, Apollo Hospitals, Dhaka, Bangladesh
  • Sohail Ahmed Department of Cardiovascular and Thoracic Surgery, Apollo Hospitals, Dhaka, Bangladesh
  • Md Zulfiqur Haider Department of Cardiovascular and Thoracic Surgery, Apollo Hospitals, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/cardio.v12i2.47997

Keywords:

Pacemaker, Infective endocarditis.

Abstract

Infections of implantable intracardiac devices such as pacemakers are relatively rare but serious complications. In this paper we report removal of a huge vegetation in RV lead of permanent pacemaker though open surgical approach using extracorporeal circulation which was giving rise to lead endocarditis. A new epicardial lead was placed as the patient was pacemaker dependent. Though the culture of the extracted material didn’t reveal any organism but the patient was improved a lot after operation from both symptomatic (subsidence of fever) & hemodynamic point of view. In follow-up OPD visit she was found to be recovered well without any complication. In conclusion, explantation of the entire pacemaker system is necessary to cure lead endocarditis in addition to appropriate antibiotic therapy.

Cardiovasc. j. 2020; 12(2): 162-166

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Published

2020-07-03

How to Cite

Palash, S. Z., Hossain, M. D., Sakib Khan, T. M. N., Meher, T., Hassan, M. K., Khan, S. I., Ahmed, N., Ahmed, S., & Haider, M. Z. (2020). Surgical Extraction of a Huge Pacemaker Lead Vegetation Causing Infective Endocarditis. Cardiovascular Journal, 12(2), 162–166. https://doi.org/10.3329/cardio.v12i2.47997

Issue

Section

Case Reports