Document Detail

Bizarre case of migration of a retained epicardial pacing wire.
MedLine Citation:
PMID:  18820251     Owner:  NLM     Status:  MEDLINE    
A 71-year-old woman, who had undergone mitral valve replacement procedure 2 years previously, presented with aortic and mitral prosthetic valve endocarditis. Preoperative examination demonstrated a wire-like structure coursing from the aortic bulb to the right carotid artery. The wire-like structure was removed during the mitral and aortic valve reoperation, and identified as an epicardial pacing wire, which was placed during the patients' first mitral valve operation. We suspect that the contaminated pacing wire migrated via the left atrium and left ventricle into the right carotid artery causing an infective endocarditis of the prosthetic mitral valve and the native aortic valve.
Gerd Juchem; Karl Golczyk; Carsten Kopf; Bruno Reichart; Peter Lamm
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-09-26
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  10     ISSN:  1532-2092     ISO Abbreviation:  Europace     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-28     Completed Date:  2008-12-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  1348-9     Citation Subset:  IM    
Department of Cardiac Surgery, University of Munich, München, Germany.
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MeSH Terms
Electrodes, Implanted / adverse effects*
Endocarditis / diagnosis*,  etiology*
Foreign-Body Migration / diagnosis*,  etiology*
Pacemaker, Artificial / adverse effects*

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