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Case Report

Infection of Retained Defibrillator Lead Fragment after Heart Transplant

by
Emanuele Durante-Mangoni
1,2,*,
Martina Vitrone
1,
Irene Mattucci
1,
Vincenzo Caprioli
3 and
Ciro Maiello
4
1
Department of Internal Medicine, University of Campania "Luigi Vanvitelli", Italy
2
Unit of Infectious and Transplant Medicine, AORN dei Colli- Monaldi Hospital, Naples, Italy
3
Unit of Cardiac Pacing, AORN dei Colli- Monaldi Hospital, Naples, Italy
4
Unit of Heart Transplants, AORN dei Colli- Monaldi Hospital, Naples, Italy
*
Author to whom correspondence should be addressed.
Clin. Pract. 2017, 7(2), 857; https://doi.org/10.4081/cp.2017.857
Submission received: 27 April 2016 / Revised: 3 March 2017 / Accepted: 17 March 2017 / Published: 6 April 2017

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 infection; transvenous lead extraction; defibrillator

Share and Cite

MDPI and ACS Style

Durante-Mangoni, E.; Vitrone, M.; Mattucci, I.; Caprioli, V.; Maiello, C. Infection of Retained Defibrillator Lead Fragment after Heart Transplant. Clin. Pract. 2017, 7, 857. https://doi.org/10.4081/cp.2017.857

AMA Style

Durante-Mangoni E, Vitrone M, Mattucci I, Caprioli V, Maiello C. Infection of Retained Defibrillator Lead Fragment after Heart Transplant. Clinics and Practice. 2017; 7(2):857. https://doi.org/10.4081/cp.2017.857

Chicago/Turabian Style

Durante-Mangoni, Emanuele, Martina Vitrone, Irene Mattucci, Vincenzo Caprioli, and Ciro Maiello. 2017. "Infection of Retained Defibrillator Lead Fragment after Heart Transplant" Clinics and Practice 7, no. 2: 857. https://doi.org/10.4081/cp.2017.857

APA Style

Durante-Mangoni, E., Vitrone, M., Mattucci, I., Caprioli, V., & Maiello, C. (2017). Infection of Retained Defibrillator Lead Fragment after Heart Transplant. Clinics and Practice, 7(2), 857. https://doi.org/10.4081/cp.2017.857

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