Šačić Dalila, Petrović Olga, Zamaklar-Trifunović Danijela, Ivanović Branislava
Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Cardiology Clinic, University Clinical Center of Serbia, Belgrade, Serbia.
Front Cardiovasc Med. 2023 Jun 16;10:1191194. doi: 10.3389/fcvm.2023.1191194. eCollection 2023.
Cardiac device-related endocarditis as a device-therapy complication is a growing problem due to higher life expectancy and the increasing number of abandoned leads and subclinical symptoms. We reported a case of a 47-year-old woman with an implanted pacemaker who was admitted to the clinic for cardiology due to the right-sided device-related infective endocarditis of the pacemaker leads with vegetations, predominantly in the right atrium and right ventricle and complicated by pulmonary embolism. Several years after pacemaker implantation, she was diagnosed with systemic lupus erythematosus and started immunosuppressive therapy. The patient was treated with prolonged intravenous antibiotic therapy. The atrial and ventricular lead was extirpated, and the posterior leaflet of the tricuspid valve was shaved.
作为一种器械治疗并发症，心脏器械相关的心内膜炎是一个日益严重的问题，这是由于预期寿命延长以及废弃导线数量增加和亚临床症状增多所致。我们报告了一例47岁植入起搏器的女性病例，该患者因起搏器导线右侧器械相关感染性心内膜炎伴赘生物入院心内科，赘生物主要位于右心房和右心室，并并发肺栓塞。起搏器植入数年之后，她被诊断为系统性红斑狼疮并开始接受免疫抑制治疗。该患者接受了长时间的静脉抗生素治疗。切除了心房和心室导线，并修剪了三尖瓣后叶。
