Right atrial giant vegetation protruding into right ventricle located on an implantable cardioverter-defibrillator lead

2009 ◽  
Vol 10 (7) ◽  
pp. 542-545 ◽  
Author(s):  
Yesim Guray ◽  
Burcu Demirkan ◽  
Umit Guray ◽  
Gizem Celik ◽  
Sule Korkmaz
2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Bisher Sawaf ◽  
Wael Kanjo ◽  
Yasir Alabbas ◽  
Ahmad Hatim ◽  
Unus K. Bedardeen ◽  
...  

Implantable cardioverter defibrillator lead endocarditis due to Brucella melitensis is a rare and life-threatening complication of brucellosis. Successful management requires a combination of medical treatment and device extraction. We present a case of relapsing brucellosis manifested as infective endocarditis colonizing the lead of the implantable cardioverter defibrillator with formation of vegetation on the lead. A 63-year-old male presented to the rehabilitation unit with hypotension. No other signs of infection were noted. The patient had a history of drinking unpasteurized milk since childhood and a previous episode of Brucella infective endocarditis. A transthoracic echocardiography showed an oscillating vegetation on the lead of the tip of the right atrial ICD, and the blood cultures were positive for Brucella melitensis. Surgical removal of the device was infeasible, and medical management was the only feasible option in this case.


Author(s):  

Dilated cardiomyopathy (DCM) is a disease characterised as left ventricular (LV) or biventricular dilatation with impaired systolic function. Regardless of underlying cause patients with DCM have a propensity to ventricular arrhythmias and sudden cardiac death. Implantable Cardioverter Defibrillator (ICD) implantation for these patients results in significant reduction of sudden cardiac death [1-3]. ICD devices may be limited by right ventricle (RV) sensing dysfunction with low RV sensing amplitude. We present a clinical case of patient with DCM, implanted ICD and low R wave sensing on RV lead.


Heart Rhythm ◽  
2007 ◽  
Vol 4 (7) ◽  
pp. 892-896 ◽  
Author(s):  
Robert G. Hauser ◽  
Linda M. Kallinen ◽  
Adrian K. Almquist ◽  
Charles C. Gornick ◽  
William T. Katsiyiannis

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