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Ann Thorac Surg 1995;60:704-706
© 1995 The Society of Thoracic Surgeons

Case Report

Importance of Complete System Removal of Infected Cardioverter-Defibrillators

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

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

Accepted for publication March 17, 1995.

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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