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Video‐Assisted Endoscopic Removal of Infected Endocardial Pacemaker Lead with Large Floating Vegetation
Author(s) -
CHU JAWJI,
LIN PYNG JING,
CHANG CHAUHSIUNG,
WANG CHUNCHIEH,
TAN PETER P.C.
Publication year - 1999
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1999.tb00394.x
Subject(s) - medicine , surgery , percutaneous , tricuspid valve , endocarditis , lead (geology) , cardiology , geology , geomorphology
The best management of pacemaker lead related endocarditis is complete surgical or percutaneous removal of the pacemaker system. Although the traditional surgical approach is via median sternotomy, we present two cases in which the lead and vegetations were removed using a video‐assisted endoscopic technique through a limited right submammary incision. In each case the patient was supported by partial extracorporeal perfusion. Additional tricuspid valve repair and atrial septal defect closure was performed in one case. The postoperative courses were uneventful, illustrating that, when compared to the conventional open heart surgical approach, the less invasive approach can be a safe and effective way to remove an infected foreign body from the right heart with increased comfort, fast recovery, and a better cosmetic result.