Open AccessRight‐sided infective endocarditis as a potentially fatal complication in patients with long‐term refractory severe bradyarrhythmia after cervical spinal cord injury: A case report
Author(s) -
Miura Naoki,
Suzuki Hideaki,
Maesawa Shota,
Koakutsu Tomoaki,
Matsumoto Yasuharu,
Fukuda Koji,
Kagaya Yutaka,
Kushimoto Shigeki,
Shimokawa Hiroaki
Publication year - 2015
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2014.11.002
Subject(s) - medicine , complication , refractory (planetary science) , ventricle , spinal cord , infective endocarditis , surgery , spinal cord injury , endocarditis , anesthesia , cardiology , physics , psychiatry , astrobiology
Bradyarrhythmia is usually a spontaneously subsiding complication of cervical spinal cord injury. However, in severe cases, it can lead to cardiac arrest. We report a case of cervical spinal cord injury, complicated by right‐sided infective endocarditis after the placement of a temporary pacing catheter in the right ventricle for severe bradyarrhythmia that led to cardiac arrest. Although the patient's condition was successfully treated by pacing catheter removal and pharmacological therapy, right‐sided infective endocarditis would be a fatal complication in cases of cervical spinal cord injury where cardiac pacing is required for long‐term refractory severe bradyarrhythmia.