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Snare vegetectomy for right‐sided endocarditis
Author(s) -
Seow SweeChong,
Lin WeiQin,
Wong Raymond C.C.
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24994
Subject(s) - medicine , percutaneous , fluoroscopy , surgery , endocarditis , right heart , vegetation (pathology) , cardiology , pathology
A middle‐aged male developed right‐sided endocarditis from an infection of an implantable cardiac defibrillator (ICD) system. Following percutaneous device and lead explantation, a very large pedunculated vegetation (19 mm × 14 mm) was found on the Eustachian valve. We decided to remove the vegetation percutaneously using a wire snare instead of open heart surgery. Case report Real‐time three‐dimensional transesophageal echocardiography and fluoroscopy were used to guide the procedure. Access was from the right femoral vein. Using a triple‐loop wire snare through a deflectable sheath, the vegetation was successfully removed in its entirety without complications. Conclusion Percutaneous snare vegetectomy is feasible and may be a viable option in place of open heart surgery in selected patients. © 2013 Wiley Periodicals, Inc.