Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Endocarditis with Intracardiac Migration of Transvenous Permanent Pacing Lead - 1 Case Report -

영구 경정맥 심박조율도관의 심장내 이동과 동반된 심내막염 - 1례 보고 -

  • Ku, Gwan-Woo (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Kang, Shin-Kwang (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Won, Tae-Hee (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Kim, Si-Wook (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Yu, Jae-Hyun (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Na, Myung-Hoon (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Lim, Seung-Pyung (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Lee, Young (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University)
  • 구관우 (충남대학교 의과대학 흉부외과학교실) ;
  • 강신광 (충남대학교 의과대학 흉부외과학교실) ;
  • 원태희 (충남대학교 의과대학 흉부외과학교실) ;
  • 김시욱 (충남대학교 의과대학 흉부외과학교실) ;
  • 유재현 (충남대학교 의과대학 흉부외과학교실) ;
  • 나명훈 (충남대학교 의과대학 흉부외과학교실) ;
  • 임승평 (충남대학교 의과대학 흉부외과학교실) ;
  • 이영 (충남대학교 의과대학 흉부외과학교실)
  • Published : 2002.11.01
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Abstract

When any part of the pacemaker system is infected, all pacemaker hardware should be removed, because reinfection rates of 51% to 77% have been noted in patients whose infected pacemaker system has been only partially explanted. The removal of infected leads during cardiopulmonary bypass prevents mechanical injury as well as the spread of infection and vegetation. We report one case of endocarditis by staphylococcus aureus with infected transvenous pacing lead which was migrated into the heart from the left subclavian vein. We removed the migrated pacing lead and vegetation under cardiopulmonary bypass.

감염된 심박조율기의 부분적 제거 후에 발생되는 재감염율은 51%에서 77%에 이르기 때문에 심박조율기의 어느 부위라도 감염이 된다면 모든 심박조율기의 하드웨어는 제거되어야 한다. 심폐기 가동하에서 감염된 심박조율기를 제거하는 것은 감염과 증식물의 확산 뿐만 아니라 기계적 손상을 방지 할 수 있다. 저자 등은 좌쇄골하 정맥에서 심장내로 이동된, 감염된 경정맥 심박조율기 도관에 의해 발생한 심내막염의 1예를 보고 한다. 심장내로 이동된 심박조율기 도관과 증식물이 부착된 전극은 심폐우회를 이용하여 제거하였다.

Keywords

References

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