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David H. Mull
Michael A. Wait
Richard L. Page
Michael E. Jessen
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Ann Thorac Surg 1995;60:704-706
© 1995 The Society of Thoracic Surgeons

Articles

Importance of complete system removal of infected cardioverter-defibrillators

MD David H. Mull, MD Michael A. Wait, MD Richard L. Page, MD Michael E. Jessen*

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, and Division of Cardiology, Department of Internal Medicine, University, of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA

Accepted for publication March 17, 1995.

* Address reprint requests to Dr Jessen, Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX 75235-8879.

We describe a case of device infection after implantable cardioverter-defibrillator implantation managed by removal of all hardware except a portion of the epicardial sensing electrodes. Recurrent septic complications developed until all residual foreign material was eliminated. Despite anecdotal reports of successful management without device removal, extraction of all hardware components should be considered standard treatment for this complication.




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