Extraction chirurgicale fatale de sondes de défibrillateur cardiaque triple chambre dans un contexte d’endocardite à Staphylococcus epidermidis méthicilline-résistant. À propos d’un cas et revue de la littérature
| Autor: | F. Verdier-Watts, O. Zouaghi, P.-F. Wey, F. Farhat, Eric Bonnefoy, V. Griffet, D. Mioulet, M. Berend |
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| Rok vydání: | 2015 |
| Předmět: |
education.field_of_study
medicine.medical_specialty Percutaneous biology business.industry Population Dilated cardiomyopathy medicine.disease biology.organism_classification Surgery Staphylococcus epidermidis Medicine Endocarditis Operative risk Cardiology and Cardiovascular Medicine business education Atrioventricular block Lead extraction |
| Zdroj: | Annales de Cardiologie et d'Angéiologie. 64:43-45 |
| ISSN: | 0003-3928 |
| DOI: | 10.1016/j.ancard.2014.04.013 |
| Popis: | A 82-year-old man equipped with a cardiac resynchronisation therapy defibrillator for dilated cardiomyopathy with normal coronary arteries, in complete atrioventricular block, develops six months after a change of the generator-pocket a severe endocarditis due to a methicillin-resistant Staphylococcus epidermidis with a large lead vegetation. After 4 days of adapted antimicrobial therapy, a surgical device removal is realised with unfortunately a fatal end during extraction. This observation points out the severity of cardiovascular device infections in old and weak population, as well as the difficulty of treatment choices because of both infectious and rhythmic constraints. The lead extraction is a strong recommendation but the modality and timing of extraction are not consensual, especially in cardioverter defibrillator-dependent patients. Surgical removal remains an alternative to percutaneous lead extraction but with a higher operative risk. |
| Databáze: | OpenAIRE |
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