Infection of retained defibrillator lead fragment after heart transplant

  • Emanuele Durante-Mangoni | emanuele.durante@unina2.it Department of Internal Medicine, University of Campania "Luigi Vanvitelli"; Unit of Infectious and Transplant Medicine, AORN dei Colli-Monaldi Hospital, Naples, Italy.
  • 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.

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Author Biography

Emanuele Durante-Mangoni, Department of Internal Medicine, University of Campania "Luigi Vanvitelli"; Unit of Infectious and Transplant Medicine, AORN dei Colli-Monaldi Hospital, Naples

Assistent Professor

Chairs of Internal Medicine

2nd University of Naples Medical School

 

Published
2017-04-06
Section
Case Reports
Keywords:
Infection, transvenous lead extraction, defibrillator.
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How to Cite
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). https://doi.org/10.4081/cp.2017.857