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Pacemaker Lead Endocarditis Combined with Rupture of Sinus Valsalva after Redo Aortic Valve Replacement / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 780-783, 2003.
Article in Korean | WPRIM | ID: wpr-203117
ABSTRACT
Pacemaker lead-related infective endocarditis is an uncommon, but serious complication. We report a case of a 45-year-old man who had symptom of intermittent high fever and rupture of sinus Valsalva that developed after a redo aortic valve replacement and transvenous permanent pacemaker implantation. Positive blood cultures of streptococcus viridans and transesophageal echocardiography showing a large mobile vegetation on pacemaker lead and tricuspid valve lead to the diagnosis of pacemaker lead-related infective endocarditis. Initial antibiotic therapy followed by surgical extraction of the pacemaker lead and wide debridement of infective tissues including multiple vegetations was required. Postoperative antibiotic therapy was continued for 4 weeks. The postoperative course has been uneventful. The patient is totally asymptomatic and is doing well up to now.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Aortic Valve / Rupture / Tricuspid Valve / Echocardiography, Transesophageal / Viridans Streptococci / Debridement / Diagnosis / Endocarditis / Fever Type of study: Diagnostic study Limits: Humans Language: Korean Journal: The Korean Journal of Thoracic and Cardiovascular Surgery Year: 2003 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Aortic Valve / Rupture / Tricuspid Valve / Echocardiography, Transesophageal / Viridans Streptococci / Debridement / Diagnosis / Endocarditis / Fever Type of study: Diagnostic study Limits: Humans Language: Korean Journal: The Korean Journal of Thoracic and Cardiovascular Surgery Year: 2003 Type: Article