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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 49, 2003, No. 3, p. 241 - 243 |
Protracted Infection of Pacemaker
Leads with Development of Large
Vegetations: Three Years Follow up.
Case Report Krupička J.1, Herold M.1, Rychterová V.2, Straka Z.1, Línková H.1 1Kardiocentrum 3. lékařské fakulty UK a FN Královské Vinohrady, Praha,přednosta prof. MUDr. Petr Widimský, DrSc., FESC.2Ústav patologie 3. lékařské fakulty UK a FN Královské Vinohrady, Praha,přednosta doc. MUDr. Václav Mandys, CSc. |
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Summary: A case history of a patient with permanent pacemaker reports inaccurate diagnosis of inflammation
at the site of operation wound and a protracted infection of pacemaker leads. Inadequate
therapy led to protracted inflammation with the leads fixed in the superior vena cava and the
development of large vegetations in the right heart. Finally, the condition was resolved by surgical
explantation and long-term antibiotic therapy. This case history describes infectious complications
related to the implantation of a permanent pacemaker and the role of echocardiography in
diagnosis of vegetations and points out the surgical treatment as a method of choice.
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