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AngioVac System Used as an Adjunct Treatment for Intra-Cardiac Lead and Valvular Vegetations.
- Source :
-
South Dakota medicine : the journal of the South Dakota State Medical Association [S D Med] 2018 Jan; Vol. 71 (1), pp. 22-24. - Publication Year :
- 2018
-
Abstract
- Infections are known complications of cardiovascular implantable electronic devices (CIEDs). We describe a case of a 62-year-old male who presented with pulseless electrical activity (PEA) cardiac arrest and respiratory failure. He had a history of cardiac resynchronization device and defibrillator (CRT-D) implantation for nonischemic cardiomyopathy. After resuscitation, he was found to have methicillin sensitive Staphylococcus aureus (MSSA) bacteremia on blood culture and large vegetations on the CRT-D lead and tricuspid valve found on echocardiography. The patient underwent extraction of the leads, but several large vegetations were present adherent to the tricuspid valve on intra-cardiac ultrasound (ICE). Due to comorbidities, the patient was not a candidate for surgical removal of these vegetations. Thus, he underwent percutaneous extraction of tricuspid and right atrial vegetations with the AngioVac device.<br /> (Copyright© South Dakota State Medical Association.)
- Subjects :
- Bacteremia diagnosis
Bacteremia microbiology
Device Removal instrumentation
Echocardiography
Heart Atria
Humans
Male
Middle Aged
Staphylococcal Infections diagnostic imaging
Staphylococcal Infections microbiology
Staphylococcus aureus drug effects
Tricuspid Valve diagnostic imaging
Defibrillators, Implantable microbiology
Device Removal methods
Electric Countershock
Staphylococcal Infections therapy
Staphylococcus aureus isolation & purification
Tricuspid Valve microbiology
Subjects
Details
- Language :
- English
- ISSN :
- 0038-3317
- Volume :
- 71
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- South Dakota medicine : the journal of the South Dakota State Medical Association
- Publication Type :
- Report
- Accession number :
- 29439300