[Removal of infected pacemaker lead through sternotomy without cardiopulmonary bypass]
| Autor: | Hisao Sasaki, Ushijima T, Takeshi Ueyama, Kengo Kawakami, Yasushi Matsumoto, Katsushi Akemoto |
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| Rok vydání: | 1998 |
| Předmět: |
Male
medicine.medical_specialty Pacemaker Artificial Sternum medicine.medical_treatment Atrial Appendage Asymptomatic law.invention law Sepsis Cardiopulmonary bypass Medicine Endocarditis Humans Aged Cardiopulmonary Bypass business.industry Staphylococcal Infections medicine.disease Atrial Lead Surgery Cardiac surgery Electrodes Implanted Median sternotomy Cardiothoracic surgery medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi. 46(1) |
| ISSN: | 1344-4964 |
| Popis: | A 66-year-old man, who had undergone DDD pacemaker implantation for complete A-V block two years ago, was admitted because of endocarditis with septicemia and renal failure. His blood culture revealed Staphylococcus aureus. We tried to remove the infected cardiac pacemaker lead. But we failed to remove the atrial lead because it was strongly adhered with the right atrial appendage. Antibiotic therapy was ineffective. In the last resort, we operated through median sternotomy three months after the initial infectious episode. In intraoperative inspection, we found it difficult to remove the lead by traction because of atrial residual lead sticking out of the right atrial appendage. We applied a purse string suture on the right appendage and obtained successful removal of infected lead without the cardiopulmonary bypass. His postoperative course has been uneventful. He is totally asymptomatic and doing well up to now. In case of such local infection, we conclude that all transvenous leads should be removed and recommend a simultaneous implantation of the epicardial pacemaker system. |
| Databáze: | OpenAIRE |
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