ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Exceptionally large vegetation on pacemaker lead developed years after implantation
Demet Menekşe Gerede1, Ali Timuçin Altın1, Veysel Kutay Vurgun1, Aynur Acıbuca1, Serkan Durdu2
1Departments of Cardiology, Medical Faculty of Ankara University, Ankara, Turkey
2Departments of Cardiovascular Surgery, Medical Faculty of Ankara University, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2015.11645
With the increasing use of cardiac implantable electronic devices in recent years, infective endocarditis associated with these devices has become more common. Early diagnosis and treatment are important to manage this infection successfully. However, the diagnosis of cardiac implantable electronic device endocarditis is not always easy, as there may be no local inflammation signs or the clinical presentation can mimic other systemic infections. Herein, we report a case of pacemaker-related infective endocarditis clinically mimicking pneumonia. Echocardiographic examination was performed due to the patient’s seven years history of pacemaker implantation. A giant vegetation was seen on the pacemaker lead. Interestingly, her vegetation grew to a giant size asymptomatically during this long period of time. After the diagnosis of infective endocarditis, the patient was managed successfully with pacemaker lead system removal and appropriate antibiotic therapy.
Keywords : Infective endocarditis; pacemaker; vegetation
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