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Bacteremia Caused by Late-Infected Pacemaker Lead

A Case Report

Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan, kinos{at}hsp.md.shinshu-u.ac.jp

Jun Amano, MD

Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan

Tamaki Takano, MD

Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan

Hiroto Kitahara, MD

Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan

Kenichi Itou, MD

Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan

Shin-ichirou Uchikawa, MD

Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan

Yoshikazu Yazaki, MD

Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan

Hiroshi Imamura, MD

Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan

Minoru Hongo, MD

Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan

Keishi Kubo, MD

Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan

A 73-year-old man with bradycardia and atrial fibrillation underwent implantation of a transvenous pacemaker system on the left anterior chest wall in 1995. Six years later, he was admitted for bacteremia from coagulase-negative Staphylococcus. Repeated treatment employing antibiotic therapy was ineffective. The infected electrode was removed under cardiopulmonary bypass. His electrode had become firmly encased with fibrous tissue within the right ventricle and atrium. It was removed under direct vision during complete cardiac arrest. The postoperative course was uneventful and there has been no recurrence after 1 year.

Angiology, Vol. 55, No. 6, 697-699 (2004)
DOI: 10.1177/00033197040550i612


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