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KMID : 0390620010090010070
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Journal of Cardiovascular Ultrasound
2001 Volume.9 No. 1 p.70 ~ p.74
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Infected endocarditis Related Pacemaker Leads : A Case Report
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하재경/Ha JK
김상현/김성호/안병재/전국진/홍택종/신영우/정성운/김종원/Kim SH/Kim SH/Ahn BJ/Cung KJ/Hong TJ/Shin YW/Chung SW/KIm JW
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Abstract
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The infected endocarditis related permanent pacemaker occurs rare and most of them occur at generator pocket but endocarditis related permanent pacemaker lead itself occurs very rarely. The rate of infection after pacemaker implantation is reported as 0.13-7% or 0.13-19.9% and mortality rare is up to 24-33%. Focal inflammation of generator packet is easily detected but it is difficult to diagnose endocarditis related pacemaker lead and it has poor prognosis. Especially, early diagnosis is most important because endocarditis related pacemaker is fatal. Thirteen years ago, a womon was inserted the permanent pacemaker and then only generator was removed after one month. We report a case that we had removed the pacemaker lead by open thoracostomy and cardiopulmonary circulation to treat endocarditis related pacemaker lead.
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