Key result
Surgical extraction of infected pacemaker leads and prolonged intravenous antibiotics successfully treated right-sided device-related infective endocarditis complicated by pulmonary embolism.
Why the study?
Cardiac device-related endocarditis is a growing problem due to higher life expectancy, an increasing number of abandoned leads, and subclinical symptoms.
Case Report (n=1)
No
This case highlights the complex medical and surgical management of pacemaker-related infective endocarditis complicated by pulmonary embolism in an immunosuppressed patient.
May inform combined antibiotic-extraction-valve surgery in immunosuppressed pacemaker endocarditis; leaves open generalizability pending larger studies.
Cardiac device-related endocarditis as a device-therapy complication is a growing problem due to higher life expectancy and the increasing number of abandoned leads and subclinical symptoms. We reported a case of a 47-year-old woman with an implanted pacemaker who was admitted to the clinic for cardiology due to the right-sided device-related infective endocarditis of the pacemaker leads with vegetations, predominantly in the right atrium and right ventricle and complicated by pulmonary embolism. Several years after pacemaker implantation, she was diagnosed with systemic lupus erythematosus and started immunosuppressive therapy. The patient was treated with prolonged intravenous antibiotic therapy. The atrial and ventricular lead was extirpated, and the posterior leaflet of the tricuspid valve was shaved.
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Šačić et al. (2023) conducted a case report in Cardiac pacemaker-related endocarditis complicated with pulmonary embolism (n=1). Surgical extraction of pacemaker leads and intravenous antibiotics was evaluated on Resolution of infection and pulmonary embolism. Surgical extraction of infected pacemaker leads and prolonged intravenous antibiotics successfully treated right-sided device-related infective endocarditis complicated by pulmonary embolism.
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