Intraventricular migration of an ICD patch.
A 42-year-old man presented with fever and weight loss 12 months after ICD replacement. After unsuccessful search for an infected focus and a specific antibiotic treatment ICD pocket was explored and Staphylococcus epidermidis was cultured. Following generator explanation fever recurred and at a second operation one ICD patch was found to have perforated in the right ventricular cavity. Explanation of the patches was performed on cardiopulmonary bypass, the patient survived the operation and infection was eradicated.
Department of Cardiac Surgery, Hanover Medical School, Federal Republic of Germany.
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Siclari
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Klein
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Tröster
D000328:Adult; D004554:Electric Countershock / Q000009:adverse effects / Q000295:instrumentation*; D005548:Foreign-Body Migration / Q000150:complications; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000293:injuries; D006801:Humans; D008297:Male; D019736:Prostheses and Implants; D013203:Staphylococcal Infections / Q000209:etiology; D013212:Staphylococcus epidermidis; D013530:Surgical Wound Infection / Q000382:microbiology; D014463:Ultrasonography; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology