Huge Vegetation in a Male with Implantable Cardioverter Defibrillator
DOI:
https://doi.org/10.3823/1980Keywords:
Huge vegetation, endocarditis, implantable cardioverter defibrillatorAbstract
Due to the increasing use of cardiac implantable electronic devices, infective endocarditis associated with these devices has become more common in the recent years. Rapid diagnosis and appropriate treatment are key points to manage this infection successfully. However, the early diagnosis of cardiac devices implantation related endocarditis is not easy. There may be no obvious local infectious symptoms or signs initially. We describe an old man who was admitted due to pneumonia and final diagnosis was implantable cardioverter defibrillator (ICD) related infective endocarditis. Transthoracic cardioechography showed a huge vegetation (5.91 cm2) on the ICD tip in the right atrium, which was protruding into the right ventricle during diastolic phase. He was successfully treated with the surgery of removal of the infected device and proper antibiotics.References
Baddour LM, Cha YM, Wilson WR. Clinical practice. Infections of cardiovascular implantable electronic devices. N Engl J Med 2012; 367: 842.
Mond HG, Proclemer A. The 11th world survey of cardiac pacing and implantable cardioverter-defibrillators: calendar year 2009--a World Society of Arrhythmia’s project. Pacing Clin Electrophysiol 2011; 34: 1013-27.
Camus C, Leport C, Raffi F, et al. Sustained bacteremia in 26 patients with a permanent endocardial pacemaker: assessment of wire removal. Clin Infect Dis 1993; 17: 46-55.
Carrasco F, Anguita M, Ruiz M, et al. Clinical features and changes in epidemiology of infective endocarditis on pacemaker devices over a 27-year period (1987-2013). Europace 2015; pii: euv377.
Shi-Min Yuan. Right-sided infective endocarditis: recent epidemiologic changes. Int J Clin Exp Med 2014; 7: 199-218.
Panduranga P, Al-Abri S, Al-Lawati J. Intravenous drug abuse and tricuspid valve endocarditis: Growing trends in the Middle East Gulf region. World J Cardiol 2013; 5: 397-403.
Cho H, Kim M, Uhm JS, et al. Transvenous Pacemaker Lead Removal in Pacemaker Lead Endocarditis with Large Vegetations: A Report of Two Cases. Korean Circ J 2014; 44: 118-21.
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