[Removal of an endocavitary electrode with cardiopulmonary bypass for septicemia associated with right atrial thrombosis. Report of a case (author's transl)].
A case of staphylococcus epidermidis endocarditis associated with a right atrial thrombosis around a pacemaker electrode is presented. Stuce the antibiotic therapy had proved uneffective, the electrode had to be removed with cardiopulmonary bypass; the infection was subsequently eliminated. When a foreign body cannot be removed by closed techniques, open heart surgery with cardiopulmonary bypass may be necessary.
D000368:Aged; D002304:Cardiac Pacing, Artificial; D002315:Cardiopulmonary Bypass; D004567:Electrodes, Implanted / Q000009:adverse effects; D004697:Endocarditis, Bacterial / Q000150:complications; D006325:Heart Atria; D006327:Heart Block / Q000628:therapy; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013203:Staphylococcal Infections / Q000150:complications; D013927:Thrombosis / Q000209:etiology*
Rimozione di elettrodo endocavitario mediante bypass cardiopolmonare totale per setticemia e trombosi atriale destra.