Right-sided infective endocarditis as a potentially fatal complication in patients with long-term refractory severe bradyarrhythmia after cervical spinal cord injury: A case report.
Bradyarrhythmia is usually a spontaneously subsiding complication of cervical spinal cord injury. However, in severe cases, it can lead to cardiac arrest. We report a case of cervical spinal cord injury, complicated by right-sided infective endocarditis after the placement of a temporary pacing catheter in the right ventricle for severe bradyarrhythmia that led to cardiac arrest. Although the patient׳s condition was successfully treated by pacing catheter removal and pharmacological therapy, right-sided infective endocarditis would be a fatal complication in cases of cervical spinal cord injury where cardiac pacing is required for long-term refractory severe bradyarrhythmia.
Graduate Medical Education Center, Tohoku University Hospital, Sendai, Japan.
Naoki
N
Miura
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan ; Division of Emergency Medicine and Critical Care, Tohoku University Graduate School of Medicine, Sendai, Japan.
Hideaki
H
Suzuki
Division of Emergency Medicine and Critical Care, Tohoku University Graduate School of Medicine, Sendai, Japan.
Shota
S
Maesawa
Division of Emergency Medicine and Critical Care, Tohoku University Graduate School of Medicine, Sendai, Japan.
Tomoaki
T
Koakutsu
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Yasuharu
Y
Matsumoto
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Koji
K
Fukuda
Graduate Medical Education Center, Tohoku University Hospital, Sendai, Japan.
Yutaka
Y
Kagaya
Division of Emergency Medicine and Critical Care, Tohoku University Graduate School of Medicine, Sendai, Japan.
Shigeki
S
Kushimoto
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Hiroaki
H
Shimokawa
Bradyarrhythmia; Cardiac arrest; Cardiac pacing; Infective endocarditis; Spinal cord injury