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(Circulation. 1998;97:2473.)
© 1998 American Heart Association, Inc.

Images in Cardiovascular Medicine

Infected Dual-Chamber Pacemaker Leads

Marciano B. Lee, MD; Ramakrishnan S. Iyer, MD; ; Edmundo E. Figueroa, MD

From Charleston Area Medical Center and Robert C. Byrd Health Services Center of West Virginia University, Charleston, WVa.

Correspondence to Marciano B. Lee, MD, Suite 504, 331 Laidley St, Charleston, WV 25304.

View larger version (59K): [in this window] [in a new window]   Figure 1. Transesophageal echocardiography (TEE) in a patient with infected dual-chamber pacemaker leads. Left, Multiple vegetations (arrows) attached to right atrial lead. Right, Vegetation (arrow) is attached to loop of right ventricular lead prolapsing into right ventricular outflow tract. RA indicates right atrium; RV, right ventricle; RVO, right ventricular outflow tract; and AO, aortic root.

View larger version (37K): [in this window] [in a new window]   Figure 2. Findings at open thoracotomy showing accurate correlation with those of TEE observations. Actual right atrial lead is seen on left, and right ventricular lead is shown on right.

Footnotes

The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.