Pacemaker endocarditis: approach for lead extraction in endocarditis with large vegetations

Revista Brasileira de Cirurgia Cardiovascular

Guillermo Nuncio Vaccarino¹  Francisco Nacinovich¹  Fernando Piccinini¹  Hector Mazzetti¹  Eliseo Segura¹  Daniel Navia¹ 

关键词: Endocarditis;    Endocarditis;    bacterial;    Pacemaker;    artificial;    Endocardite;    Endocardite bacteriana;    Marca-Passo Artificial;   

DOI  :  10.1590/S0102-76382009000500020

来源: SciELO

【 摘 要 】

The presence of large lead vegetations poses additional difficulties for explantation because many methods cannot be used due to the potential hazard of embolism. We report two patients with large vegetation on the ventricular lead due to endocarditis and one of them with an atrial septal defect associated. It was applied a combined technique of transvenous lead removal and sternotomy with cardiopulmonary bypass for the complete removal of pacemaker wires. This procedure resolved the pacemakers endocarditis safely and subsequently a new transvenous device was placed on the opposite site.

【 授权许可】

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