(Circulation. 1998;97:2473.)
© 1998 American Heart Association, Inc.
Images in Cardiovascular Medicine |
Infected Dual-Chamber Pacemaker Leads
Marciano B. Lee, MD;
Ramakrishnan S. Iyer, MD;
; Edmundo E. Figueroa, MD
From Charleston Area Medical Center and Robert C. Byrd Health Services
Center of West Virginia University, Charleston, WVa.
Correspondence to Marciano B. Lee, MD, Suite 504, 331 Laidley St, Charleston, WV 25304.
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Figure 1. Transesophageal
echocardiography (TEE) in a patient with infected
dual-chamber pacemaker leads. Left, Multiple vegetations (arrows)
attached to right atrial lead. Right, Vegetation (arrow) is attached to
loop of right ventricular lead prolapsing into right
ventricular outflow tract. RA indicates right atrium; RV,
right ventricle; RVO, right ventricular outflow tract; and
AO, aortic root.
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Figure 2. Findings at open thoracotomy showing accurate
correlation with those of TEE observations. Actual right atrial lead is
seen on left, and right ventricular lead is shown on
right.
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Footnotes
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.
