title: [Perforating epicardial lead: atypical evolution].
abstract: Endocarditis related to pacemaker lead is a rare complication of permanent transvenous pacing, of which the diagnosis is carried out with the presence of verrucae in echocardiography and positive blood cultures, its treatment being mixed -medical and surgical- because the isolated medical treatment is rarely successful and the lead should be extracted. We present the case of recurrent endocarditis of several years of evolution, in the which it was not possible to extract of the electrode due to the special characteristics of the patiente (epicardial lead perforating into right atrial).
authors.affiliation: Servicio de Cardiología, Hospital Clínico de Salamanca.
authors.forename: J L
authors.initials: JL
authors.lastname: Moríñigo
authors.forename: P L
authors.initials: PL
authors.lastname: Sánchez
authors.forename: F
authors.initials: F
authors.lastname: Martín
authors.forename: A
authors.initials: A
authors.lastname: Arribas
authors.forename: C
authors.initials: C
authors.lastname: Ledesma
authors.forename: C
authors.initials: C
authors.lastname: Martín Luengo
mesh_terms: D000368:Aged; D004566:Electrodes; D004697:Endocarditis, Bacterial; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010496:Pericardium; D016459:Prosthesis-Related Infections / Q000209:etiology*; D012008:Recurrence; D013203:Staphylococcal Infections / Q000209:etiology*; D013212:Staphylococcus epidermidis