JACC. Case reports · 2025
Retained Permanent Epicardial Pacemaker Leads and Lung Abscess: A Diagnostic and Surgical Challenge.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bahar Abdul Rasheed, Jawadi Mohamad Hasan, Cardozo Shaun, Kumar Kartik, Baciewicz Frank Alexander
Аннотация
BACKGROUND: Epicardial pacemaker leads are used when transvenous access is contraindicated, but retained leads can rarely result in serious long-term complications.
CASE SUMMARY: A 40-year-old male with intravenous drug use, tricuspid valve replacement, and prior epicardial pacemaker implantation presented with hemoptysis. Imaging revealed a left lower lobe lung abscess containing retained epicardial leads, left in situ after incomplete extraction years earlier. He underwent lobectomy and resection of infected leads. Postoperatively, he developed respiratory failure and arrhythmias requiring repeat epicardial pacemaker implantation, but ultimately recovered after rehabilitation.
DISCUSSION: Lung abscess due to retained permanent epicardial leads is exceedingly rare. This case underscores diagnostic challenges, the morbidity of incomplete lead removal, and the importance of vigilance in patients with prior cardiac device history.
TAKE-HOME MESSAGES: Retained permanent epicardial leads are not biologically inert and may predispose to severe infectious complications. Complete hardware extraction and long-term surveillance are critical.
CASE SUMMARY: A 40-year-old male with intravenous drug use, tricuspid valve replacement, and prior epicardial pacemaker implantation presented with hemoptysis. Imaging revealed a left lower lobe lung abscess containing retained epicardial leads, left in situ after incomplete extraction years earlier. He underwent lobectomy and resection of infected leads. Postoperatively, he developed respiratory failure and arrhythmias requiring repeat epicardial pacemaker implantation, but ultimately recovered after rehabilitation.
DISCUSSION: Lung abscess due to retained permanent epicardial leads is exceedingly rare. This case underscores diagnostic challenges, the morbidity of incomplete lead removal, and the importance of vigilance in patients with prior cardiac device history.
TAKE-HOME MESSAGES: Retained permanent epicardial leads are not biologically inert and may predispose to severe infectious complications. Complete hardware extraction and long-term surveillance are critical.