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Infection of retained defibrillator lead fragment after heart transplant

Emanuele Durante-Mangoni, Martina Vitrone, Irene Mattucci, Vincenzo Caprioli, Ciro Maiello
  • Emanuele Durante-Mangoni
    Department of Internal Medicine, University of Campania "Luigi Vanvitelli"; Unit of Infectious and Transplant Medicine, AORN dei Colli-Monaldi Hospital, Naples, Italy | emanuele.durante@unina2.it
  • Martina Vitrone
    Department of Internal Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
  • Irene Mattucci
    Department of Internal Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
  • Vincenzo Caprioli
    Unit of Cardiac Pacing, AORN dei Colli-Monaldi Hospital, Naples, Italy
  • Ciro Maiello
    Unit of Heart Transplants, AORN dei Colli-Monaldi Hospital, Naples, Italy

Abstract

A 59-year old heart transplant recipient was admitted due to continuous pain in her left axilla. A purulent collection was found at the site of prior defibrillator placement, where a remnant proximal segment of an electric lead was found. Two years before, the patient had had pocket infection treated with revision, but without device extraction. The remnant lead was eventually removed transvenously without complications. This is the first description of infection complicating retention of lead fragments after heart transplant. The role of biofilm and net immune state on the persistence and late recurrence of infection is discussed.

Keywords

Infection; transvenous lead extraction; defibrillator.

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Submitted: 2016-04-27 23:22:36
Published: 2017-04-06 13:34:14
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Copyright (c) 2017 Emanuele Durante-Mangoni, Martina Vitrone, Irene Mattucci, Vincenzo Caprioli, Ciro Maiello

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