Silicone-induced endocarditis. A complication of transvenous cardiac pacing catheterization.
We report a case of silicone-induced endocarditis as a newly recognized complication of transvenous cardiac pacing catheterization. Silicone was found embedded in thrombotic vegetations on the tricuspid valve of a patient who had a long-standing pacing catheter in the right side of his heart. Scanning electron microscopy and energy-dispersive x-ray analysis confirmed the presence of silicone in the vegetations and in the catheter tip.
D000368:Aged; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D004696:Endocarditis / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D012828:Silicones / Q000009:adverse effects* / Q000032:analysis; D014261:Tricuspid Valve / Q000473:pathology
D012828:Silicones