Key result
PET confirms pacemaker pocket infection in a patient with persistent local swelling.
Positron emission tomography may be utilized in the diagnostic workup of suspected pacemaker-related infections.
Persistent painless CIED pocket swelling post-valve surgery may indicate occult infection or manipulation; leaves open optimal diagnostic pathways.
A 59-year-old man underwent dual chamber permanent pacemaker (DDD PPM) implantation for complete heart block following emergency mechanical mitral valve replacement and coronary artery bypass grafting. At routine pacemaker check 5 months after the implant, a painless moderate sized swelling persisted over the box. The patient described several episodes …
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Zuberi et al. (2011) studied this question. Positron emission tomography was utilized to diagnose a pacemaker-related infection in a 59-year-old man presenting with persistent swelling over the device pocket.
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