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Endocarditis due to six entrapped pacemaker leads and concomitant recurrent coronary arteriosclerosis
P Hong-Barco1, J O'Toole, M L Gerber
1Division of Cardiovascular Surgery, Shadyside Hospital, Pittsburgh, PA.
Insights
This unique case report details managing endocarditis caused by six entrapped endocardial pacemaker leads. Surgical intervention, including cardiopulmonary bypass, was necessary after conservative methods failed.
Area of Science:
- Cardiology
- Cardiac Surgery
- Infectious Diseases
Background:
- Endocardial pacemaker leads can be associated with infective endocarditis.
- Lead entrapment presents a significant challenge for lead extraction and management.
Observation:
- A patient presented with endocarditis involving six entrapped endocardial pacemaker leads.
- Multiple failed attempts at conservative lead removal were documented.
Findings:
- Surgical intervention utilizing cardiopulmonary bypass was required for lead removal.
- Concomitant redo coronary artery bypass grafting was performed during the same procedure.
Implications:
- This case highlights a rare and complex clinical scenario in cardiac device management.
- Successful surgical management underscores the importance of tailored approaches for entrapped leads in endocarditis.
- The findings contribute to the limited literature on managing multiple entrapped pacemaker leads in the context of infection.
Abstract:
A case of endocarditis associated with six entrapped endocardial pacer leads is presented. Because of many failed attempts at removing them by conservative measures, cardiopulmonary bypass was needed; concomitant redo coronary bypass grafts were done. To our knowledge, this represents a unique case, the like of which has not been reported previously. Salient features of management are discussed.