Key result
Surgical lead extraction under cardiopulmonary bypass with tricuspid valve repair was successfully performed without complications in a patient with a 21-year-old pacemaker and large vegetations.
Why the study?
Pacemaker lead infections with large vegetation and extensive adhesions pose significant procedural risks during surgical extraction.
Case Report (n=1)
No
Surgical lead extraction under cardiopulmonary bypass should be considered a viable option in patients with long-standing pacemaker lead implantation or large vegetations to reduce the risk of life-threatening complications.
May support surgical extraction under bypass in select complex cases; hypothesis-generating and leaves open comparative trials before practice change.
Pacemaker lead infections with large vegetation and extensive adhesions pose significant procedural risks during surgical extraction. A 71-year-old woman with a 21-year-old pacemaker developed recurrent Staphylococcus aureus bacteremia. She underwent successful surgical lead extraction performed under cardiopulmonary bypass, with concomitant tricuspid valve repair, due to the presence of a large vegetation and strong adhesions to the right ventricular myocardium and tricuspid valve. Surgical lead extraction under cardiopulmonary bypass should be considered a viable option in patients with long-standing pacemaker lead implantation or large vegetation to reduce the risk of life-threatening complications.
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Hisata et al. (2025) conducted a case report in Pacemaker lead infection (n=1). Surgical lead extraction under cardiopulmonary bypass with tricuspid valve repair was evaluated on Successful lead extraction and clinical recovery. Surgical lead extraction under cardiopulmonary bypass with tricuspid valve repair was successfully performed without complications in a patient with a 21-year-old pacemaker and large vegetations.
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