This case report demonstrates that an ICD patch can perforate into the right ventricular cavity, presenting as a recurrent infection that requires surgical explantation on cardiopulmonary bypass.
A 42-year-old man presented with fever and weight loss 12 months after ICD replacement. After unsuccessful search for an infected focus and a specific antibiotic treatment ICD pocket was explored and Staphylococcus epidermidis was cultured. Following generator explanation fever recurred and at a second operation one ICD patch was found to have perforated in the right ventricular cavity. Explanation of the patches was performed on cardiopulmonary bypass, the patient survived the operation and infection was eradicated.
Siclari et al. (Thu,) studied this question.
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