Successful management of multiple permanent pacemaker complications – infection, 13 year old silent lead perforation and exteriorisation following failed percutaneous extraction, superior vena cava obstruction, tricuspid valve endocarditis, pulmonary embolism and prosthetic tricuspid valve thrombosis
2009

Management of Pacemaker Complications

publication Evidence: moderate

Author Information

Author(s): Kaul Pankaj, Adluri Krishna, Javangula Kalyana, Baig Wasir

Primary Institution: Yorkshire Heart Centre, Leeds General Infirmary

Hypothesis

Can multiple complications from pacemaker implantation be effectively managed through surgical intervention?

Conclusion

The case report illustrates successful management of severe complications from pacemaker endocarditis and lead perforation through surgical intervention.

Supporting Evidence

  • The patient had a history of multiple complications from pacemaker implantation.
  • Surgical intervention led to the successful removal of infected leads and valve replacement.
  • Thrombolysis was effective in resolving tricuspid valve thrombosis.

Takeaway

This study shows how doctors can fix serious problems caused by heart devices, like infections and broken leads, using surgery.

Methodology

The patient underwent surgical removal of infected leads and valve replacement, followed by thrombolysis for valve thrombosis.

Limitations

The case report is based on a single patient, limiting generalizability.

Participant Demographics

A 59-year-old man with a history of pacemaker complications.

Digital Object Identifier (DOI)

10.1186/1749-8090-4-12

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