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Echocardiography in Detecting Implantable Cardioverter Defibrillator Lead Endocarditis: Case Report

Josip Vincelj orcid id orcid.org/0000-0003-0064-9128 ; Department of Cardiovascular Diseases, Dubrava University Hospital; University of Applied Health Studies; Zagreb, Croatia
Bruno Baršić ; Dr Fran Mihaljević University Hospital for Infectious Diseases; Zagreb, Croatia
Igor Rudež ; Department of Cardiac Surgery, Dubrava University Hospital, Zagreb, Croatia
Daniel Unić ; Department of Cardiac Surgery, Dubrava University Hospital, Zagreb, Croatia
Mario Udovičić ; Department of Cardiovascular Diseases, Dubrava University Hospital;Zagreb, Croatia


Puni tekst: engleski pdf 150 Kb

str. 121-124

preuzimanja: 956

citiraj


Sažetak

Lead endocarditis is an infrequent but potentially lethal complication of implantable cardioverter defibrillator (ICD) implantation. We report a case of a 53-year-old man with ICD who was admitted to our hospital because of fever, chills, shivering, headache and malaise. Transthoracic echocardiography detected a structure highly suspect of vegetation located on the ICD lead. Transesophageal echocardiography showed a 20x12 mm mobile vegetation attached to the ICD lead in the right atrium. The infection was caused by methicillin-resistant Staphylococcus epidermidis (MRSE), which was isolated from blood cultures. Treatment consisted of surgical removal of the ICD lead and placement of new epicardial ICD leads. Three years afterwards, the patient remained asymptomatic. To our knowledge, this is the first such case reported from Croatia.

Ključne riječi

Defibrillators, implantable – adverse effects; Endocarditis; Prosthesis-related infections; Methicillin-resistant Staphylococcus epidermidis; Echocardiography

Hrčak ID:

77677

URI

https://hrcak.srce.hr/77677

Datum izdavanja:

31.3.2011.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.885 *