Intracardiac echocardiography in the detection of pacemaker lead endocarditis.
At times, infection of pacemaker leads can be difficult to confirm even with transesophageal echocardiography. We describe a patient with pacemaker lead infection where the transesophageal echocardiogram was nondiagnostic, and intracardiac echocardiography made the diagnosis by demonstrating the vegetation on the pacemaker lead. This illustrates a potential role for intracardiac echocardiography in infective endocarditis when transesophageal echocardiography is nondiagnostic.
Dalal
Ajay
A
Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Asirvatham
Samuel J
SJ
Chandrasekaran
Krishnaswamy
K
Seward
James B
JB
Tajik
A Jamil
AJ
D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000382:microbiology*; D012008:Recurrence; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging* / Q000601:surgery