title: Unusual complication of pacemaker implantation/revision: secondary endocarditis due to fracture and embolization of an introducer sheath.
abstract: We report a 48-year-old male with a rare complication of pacemaker revision-fracture, migration, and secondary endocarditis due to a venous introducer sheath. We illustrate the possible mechanism of injury and discuss approaches to management.
authors.affiliation: PGY-2 Internal Medicine, Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee 37920, USA. hsouth@utmck.edu
authors.forename: Harry
authors.initials: H
authors.lastname: South
authors.forename: Jujhar
authors.initials: J
authors.lastname: Bains
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Hirsh
mesh_terms: D001919:Bradycardia / Q000628:therapy*; D020878:Device Removal / Q000379:methods; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D004696:Endocarditis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004868:Equipment Failure; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*