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Right-sided infective endocarditis with acquired tricuspid valve stenosis associated with transvenous pacemaker: a
F Enia1, R Lo Mauro, F Meschisi
1Divisione di Cardiologia, Ospedale V. Cervello, Palermo, Italy.
Pacing and Clinical Electrophysiology : PACE
|July 1, 1991
Summary
A pacemaker recipient developed unusual endocarditis caused by micrococcus, leading to tricuspid valve stenosis. Surgery confirmed the pacemaker as the suspected cause of these rare complications.
Area of Science:
- Cardiology
- Infectious Diseases
- Cardiac Surgery
Background:
- A 29-year-old woman with sick sinus syndrome and nodo-hisian pathology received a transvenous pacemaker (DDD).
- Pacemaker implantation is a common procedure for bradyarrhythmias.
Observation:
- The patient experienced recurrent febrile episodes post-pacemaker insertion.
- These episodes were indicative of an underlying infection or complication.
Findings:
- Pacemaker-related endocarditis was diagnosed, which is a rare but serious complication.
- The infecting organism, Micrococcus, is an uncommon cause of endocarditis.
- The patient developed acquired tricuspid valve stenosis, a highly unusual consequence.
Implications:
- This case highlights the importance of considering unusual pathogens in pacemaker-related infections.
- It underscores the potential for severe valvular complications, such as tricuspid stenosis, following pacemaker implantation.
- Prompt surgical intervention may be necessary to manage such rare complications effectively.