Acta clinica Croatica, Vol. 50 No. 1, 2011.
Other
Echocardiography in Detecting Implantable Cardioverter Defibrillator Lead Endocarditis: Case Report
Josip Vincelj
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
Abstract
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.
Keywords
Defibrillators, implantable – adverse effects; Endocarditis; Prosthesis-related infections; Methicillin-resistant Staphylococcus epidermidis; Echocardiography
Hrčak ID:
77677
URI
Publication date:
31.3.2011.
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