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KMID : 0882420070730030324
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Korean Journal of Medicine
2007 Volume.73 No. 3 p.324 ~ p.329
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A case report of infective endocarditis of the aortic valve in a patient with an implanted pacemaker
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Baeg jeong-seon
Jeon Hui-Kyung
Kwak Jae-Wuk
Jang Eun-Chul
Yoon Na-Ri
Shin Jung-Ah
Chang Ki-Yuk
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Abstract
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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 pacemaker-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)
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KEYWORD
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Cardiac pacemaker, Aortic valve, Bacterial endocarditis
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