A Successfully Treated Case of Microbial Endocarditis Due to Transvenous Pacemaker Infection Induced by Gastroduodenoscopy

A 58-year-old woman, had received a transvenous permanent pacemaker was the subject of this study. Cervical phlegmon, induced by gastroduodenoscopy infected the tract of the transvenous pacemaker lead inserted into the left subclavian vein by the puncture method. Local management was unsuccessful, a...

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Published inJapanese Journal of Cardiovascular Surgery Vol. 26; no. 3; pp. 175 - 178
Main Authors Taniguchi, Iwao, Yamaga, Takesi, Okada, Minoru, Asida, Yasuyuki
Format Journal Article
LanguageJapanese
Published The Japanese Society for Cardiovascular Surgery 1997
Online AccessGet full text
ISSN0285-1474
1883-4108
1883-4108
DOI10.4326/jjcvs.26.175

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Abstract A 58-year-old woman, had received a transvenous permanent pacemaker was the subject of this study. Cervical phlegmon, induced by gastroduodenoscopy infected the tract of the transvenous pacemaker lead inserted into the left subclavian vein by the puncture method. Local management was unsuccessful, and consequently, microbial endocarditis developed with tricuspid valve vegetation. Removal of the entire system under cardiopulmonary bypass successfully eliminated the infection. It is neccesary that pacemaker patients undergoing procedures that may be associated with infections receive prophylactic antibiotics before such procedures. Patients with pacemaker infections should undergo aggressive total removal of the pacemaker system at an early stage of infection, particularly in cases with bacteremia.
AbstractList A 58-year-old woman, had received a transvenous permanent pacemaker was the subject of this study. Cervical phlegmon, induced by gastroduodenoscopy infected the tract of the transvenous pacemaker lead inserted into the left subclavian vein by the puncture method. Local management was unsuccessful, and consequently, microbial endocarditis developed with tricuspid valve vegetation. Removal of the entire system under cardiopulmonary bypass successfully eliminated the infection. It is neccesary that pacemaker patients undergoing procedures that may be associated with infections receive prophylactic antibiotics before such procedures. Patients with pacemaker infections should undergo aggressive total removal of the pacemaker system at an early stage of infection, particularly in cases with bacteremia.
Author Yamaga, Takesi
Asida, Yasuyuki
Okada, Minoru
Taniguchi, Iwao
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  fullname: Asida, Yasuyuki
  organization: Second Department of Surgery, Tottori University School of Medicine
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References 4) Jara, F.M., Toledo-Pereyra, L., Lewis, J.W.Jr. et al.: The infected pacemaker pocket. J. Thorac. Cardiovasc. Surg. 78: 298-300, 1979.
7) 片井聡, 治田精一, 山本一也ほか: リードリムーバルキットにより感染ペースメーカーリードを抜去した1例. 心臓25: 437-441, 1993.
8) 長谷川豊, 石川進, 大滝章男ほか: MRSA敗血症をきたしたペースメーカー感染の1治験例. 日心外会誌24: 347-350, 1995.
6) Byrd, C.L., Schwartz, S.J., Hedin, N. et al.: Intravascular techniques for extraction of permanent pacemaker leads. J. Thorac. Cardiovasc. Surg. 101: 989-997, 1991.
2) 竹本忠良: 消化器疾患の診断手技にともなう偶発性とその対策. Gastroenterol. Endosc. 18 (2): 183-189, 1976.
5) Retting, G., Doenecke, P., Sen, S. et al.: Complications of retained transvenous pacemaker electrodes. Am. Heart J. 98: 587-594, 1979.
1) 村瀬允也, 阿部稔雄, 石原智嘉: 人工臓器と感染, ペースメーカー. 人工臓器15 (1): 63-66, 1986.
3) Choo, M.H., Holmes, D.R., Gersh, B.J. et al.: Permanent pacemaker infections: characterization and management. Am. J. Cardiol. 48: 559-564, 1981.
References_xml – reference: 3) Choo, M.H., Holmes, D.R., Gersh, B.J. et al.: Permanent pacemaker infections: characterization and management. Am. J. Cardiol. 48: 559-564, 1981.
– reference: 8) 長谷川豊, 石川進, 大滝章男ほか: MRSA敗血症をきたしたペースメーカー感染の1治験例. 日心外会誌24: 347-350, 1995.
– reference: 7) 片井聡, 治田精一, 山本一也ほか: リードリムーバルキットにより感染ペースメーカーリードを抜去した1例. 心臓25: 437-441, 1993.
– reference: 6) Byrd, C.L., Schwartz, S.J., Hedin, N. et al.: Intravascular techniques for extraction of permanent pacemaker leads. J. Thorac. Cardiovasc. Surg. 101: 989-997, 1991.
– reference: 2) 竹本忠良: 消化器疾患の診断手技にともなう偶発性とその対策. Gastroenterol. Endosc. 18 (2): 183-189, 1976.
– reference: 5) Retting, G., Doenecke, P., Sen, S. et al.: Complications of retained transvenous pacemaker electrodes. Am. Heart J. 98: 587-594, 1979.
– reference: 1) 村瀬允也, 阿部稔雄, 石原智嘉: 人工臓器と感染, ペースメーカー. 人工臓器15 (1): 63-66, 1986.
– reference: 4) Jara, F.M., Toledo-Pereyra, L., Lewis, J.W.Jr. et al.: The infected pacemaker pocket. J. Thorac. Cardiovasc. Surg. 78: 298-300, 1979.
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Title A Successfully Treated Case of Microbial Endocarditis Due to Transvenous Pacemaker Infection Induced by Gastroduodenoscopy
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