A hybrid approach of open surgery, percutaneous extraction, and targeted antibiotic therapy led to full recovery without relapse in a 51-year-old woman with pacemaker-related atrial pseudoaneurysm and infection.
Case Report (n=1)
No
Advanced multimodal imaging and a multidisciplinary hybrid surgical approach are crucial for diagnosing and managing complex cardiovascular implantable electronic device infections involving rare complications like atrial pseudoaneurysms.
Introduction/Background A cardiovascular implantable electronic device infection (CIEDI) is a rare but serious complication, often difficult to diagnose. We present a unique case of CIEDI involving a long-standing right atrial pseudoaneurysm with pericardial abscess related to an old pacemaker system. Case Presentation A 51-year-old woman with a dual-chamber pacemaker presented with prolonged fever and lead dysfunction. Multimodal imaging revealed lead perforation into the pericardial sac, resulting in an abscess. A hybrid approach combining open surgery, percutaneous extraction, and targeted antibiotic therapy led to full recovery. Conclusion Accurate diagnosis through advanced imaging and multidisciplinary care is essential for the management of complex CIEDI and to improve outcomes.
Ibarz et al. (Wed,) conducted a case report in Cardiovascular implantable electronic device infection (CIEDI) with right atrial pseudoaneurysm and pericardial abscess due to pacemaker lead perforation (n=1). Hybrid approach combining open surgery, percutaneous extraction, and targeted antibiotic therapy was evaluated on Complete recovery without relapse or infection after device removal and targeted antibiotic therapy. A hybrid approach of open surgery, percutaneous extraction, and targeted antibiotic therapy led to full recovery without relapse in a 51-year-old woman with pacemaker-related atrial pseudoaneurysm and infection.