It was reported that this cardiac resynchronization therapy pacemaker (crt-p) patient experienced an infection and endocarditis.
An echocardiogram was performed, and vegetation was seen on the leads.
Subsequently, a revision procedure was performed.
It was noted that during the beginning of the procedure there was a trace of a pericardial effusion, however, the pericardial space was monitored and there was no change during the entire procedure.
The right ventricular (rv) lead fragmented during the removal process; however, the entire rv lead was successfully removed.
The crt-p, left ventricular (lv) lead, non-boston scientific right atrial (ra) lead, and non-boston scientific rv lead were successfully explanted.
No additional adverse patient effects were reported.
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