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The Korean Journal of Medicine 2007;73(3): 324-329.
증례 : 인공 심장박동 조율기를 삽입한 환자에서 대동맥 판막부위에 발생한 감염성 심내막염 1예
백정선, Hui Kyung Jeon, Jae Wook Kawk, Eun Chul Jang, Na Ri Youn, Jung Ah Shin, Kiyuk Chang
A case report of infective endocarditis of the aortic valve in a patient with an implanted pacemaker
Jung Sun Pack, Hui Kyung Jeon, Jae Wook Kawk, Eun Chul Jang, Na Ri Youn, Jung Ah Shin, Kiyuk Chang
1Department of Cardiology, Catholic University of Daegu College of Medicine, Daegu, Korea
ABSTRACT
Infective endocarditis related to pacemaker implantation is a rare complication. However, it is a potentially lethal complication with a mortality rate of 30 to 35%. Infective endocarditis associated with pacemaker implantation usually involves the right heart and tricuspid valve. Conservative treatment without complete removal of the entire pacing system is prone to fail (i.e. result in infection relapse or development of sepsis). Therefore, the total extraction of the entire pacemaker system should be considered as standard therapy for most patients with acemaker-related endocarditis and for many patients with local infectious symptoms at the site of pacemaker implantation to achieve complete recovery. We report a case of a 42-year-old man with documented pacemaker related left-sided endocarditis that was associated with multiple embolic events. Also, we review the literature regarding pacemaker-related endocarditis and local wound infection, in particular with respect to the modalities of treatment.(Korean J Med 73:324-329, 2007) Key Words : Cardiac pacemaker, Aortic valve, Bacterial endocarditis
Keywords: Cardiac pacemaker, Aortic valve, Bacterial endocarditis
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