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Right arrow Electrophysiology - arrhythmias

Ann Thorac Surg 2001;72:2130-2132
© 2001 The Society of Thoracic Surgeons

Case report

Pacemaker endocarditis: approach for lead extraction in endocarditis with large vegetations

Albert Miralles, MD*a, Victor Moncada, MDa, Hermes Chevez, MDa, Rafael Rodriguez, MDa, Jordi Granados, MDa, Eduard Castells, MDa

a Department of Cardiac Surgery, Ciutat Sanitaria i Universitaria de Bellvitge, Hospital Princeps d’Espanya, Barcelona, Spain

Accepted for publication March 20, 2001.

* Address reprint requests to Dr Miralles, Department of Cardiac Surgery, Ciutat Sanitaria i Universitaria de Bellvitge, Hospital Princeps d’Espanya, Feixa Llarga s/n, 08907 L’Hospitalet de Llobregat, Barcelona, Spain
e-mail: amc{at}csub.scs.es

We present the case of a patient with vegetations on a pacing lead from a pacemaker implanted 13 years previously. A new surgical technique for removal of infected leads was developed to avoid the increased risk of septic pulmonary embolism. The electrode with vegetations was removed without cardiopulmonary bypass using the direct surgical approach described.






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Copyright © 2001 by The Society of Thoracic Surgeons.