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Pacemaker-induced infection: diagnosis by multi-plane transesophageal echocardiography

Corrado, G.; Tarelli, G.; Santarone, M.

Cardiologia 42(10): 1083-1086

1997

ISSN/ISBN: 0393-1978
PMID: 9534285
Document Number: 471911
We report the identification by multiplane transesophageal echocardiography of a vegetation on a permanent pacemaker lead in a patient with persistent bacteriemia. The lesion could not be visualized with transthoracic echocardiography. The diagnosis of vegetation was based on the visualization of a freely highly mobile mass attached to the pacemaker lead, with different echogenicity from the lead. The entire pacing system was surgically removed through a right atrial approach, and inspection confirmed pacemaker lead vegetation. We conclude that transesophageal echocardiography should be considered to investigate suspected pacemaker lead infection in patients with negative transthoracic echocardiography.

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