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.