Naslov
Echocardiography in detecting implantable cardioverter defibrillator lead endocarditis: case report

Autori
Vincelj J, Baršić B, Rudež I, Unić D, Udovičić M.

Izvornik
Acta clinica Croatica (0353-9466) 50 (2011), 1; 121-124

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
endocarditis

Sažetak
Lead endocarditis is an infrequent but potentially lethal complication of implantable cardioverter defibrillator (ICD) implantation. We report a case of a 53-year-old man with ICD who was admitted to our hospital because of fever, chills, shivering, headache and malaise. Transthoracic echocardiography detected a structure highly suspect of vegetation located on the ICD lead. Transesophageal echocardiography showed a 20x12 mm mobile vegetation attached to the ICD lead in the right atrium. The infection was caused by methicillin-resistant Staphylococcus epidermidis (MRSE), which was isolated from blood cultures. Treatment consisted of surgical removal of the ICD lead and placement of new epicardial ICD leads. Three years afterwards, the patient remained asymptomatic. To our knowledge, this is the first such case reported from Croatia.

Izvorni jezik
Engleski

POVEZANOST RADA