Document Detail

Transvenous removal of endocardial leads with coexisting great vegetation (3.5 cm)--case report.
MedLine Citation:
PMID:  20093254     Owner:  NLM     Status:  MEDLINE    
We discuss a case of transvenous removal of endocardial leads in a patient with initial contraindication for such a procedure due to the size of the vegetation in his right atrium. Simultaneously, the patient's progressive general poor condition during the course of infective endocarditis prognosed that cardiosurgical intervention with the use of cardiopulmonary bypass would be unsuccessful. Using an innovative solution, that is placing the Dotter's basket in the right ventricular outlet as a protection against massive pulmonary embolism, the leads were removed. An asymptomatic pulmonary embolism caused by defragmented vegetation was revealed after the procedure.
Barbara Ma?ecka; Andrzej Kutarski; Andrzej Tomaszewski; Elzbieta Czekajska-Chehab; Andrzej Zabek
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-20
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:  12     ISSN:  1532-2092     ISO Abbreviation:  Europace     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-05-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  445-6     Citation Subset:  IM    
Department of Electrocardiology, John Paul II Hospital, Krakow, Poland.
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MeSH Terms
Cardiac Pacing, Artificial / adverse effects*
Device Removal / methods*
Endocarditis / surgery*,  ultrasonography
Pacemaker, Artificial / adverse effects*,  microbiology*
Prosthesis-Related Infections / surgery*,  ultrasonography
Pulmonary Embolism / prevention & control

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