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Infectious endocarditis in pacemaker endocardial leads: report of three cases
F Cruz-Cruz1, N Espinola-Zavaleta, J Hernández Lara
1Departament of Electrocardiography, Electrophysiology and Echocardiography, Instituto Nacional de Cardiología Ignacio Chávez, INCICH, México, D. F.
Abstract:
Three cases of endocarditis affecting endocardial leads of permanent pacemakers are presented with a review of the literature. Vegetations were identified using transesophageal echocardiography. Infection of pacemaker leads is far less common than infection at the site of the pulse generator with greater morbidity and mortality and generally requiring surgical removal of both electrodes and power source. The most frequent infective agents are stahylococcus varieties.