TY - JOUR ID - 4382 TI - The Improvement of the Atrial Flutter Rhythm upon the Removal of the Infected Permanent Pacemaker Lead JO - Journal of Cardio-Thoracic Medicine JA - JCTM LA - en SN - 2345-2447 AU - Azari, Ali AU - Heidari Bakavoli, Alireza AU - Bigdelu, Leila AD - Cardiac Surgeon, Cardiovascular Research Center, Ghaem Hospital Facultyof Medicine, Mashhad University of Medical Sciences, Mashhad, Iran AD - Fellowship of Electrophysiology, Cardiovascular Research Center, Ghaem Hospital Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran AD - Cardiologist, Cardiovascular Research Center, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Y1 - 2015 PY - 2015 VL - 3 IS - 2 SP - 313 EP - 315 KW - Atrial Flutter KW - Infection KW - Lead KW - Pacemaker KW - Permanent DO - 10.22038/jctm.2015.4382 N2 - Pacemaker infection has multiple risk factors. Its presentation is most often similar to infected endocarditis and the diagnosis is made through studying blood cultures. Transesophageal echocardiography can confirm the diagnosis. The most common microorganisms are staphylococcus speciesis. As a matter of fact, complete pacemaker removal appears to be the only definite treatment. We presented a case of infected pacemaker lead which was firstly referred with fever and nephritic syndrome. She had intermittent atrial flutterrhythm. Therefore, a total infected pacemaker system was removed under cardiopulmonary bypass support. Yet, the lead was firmly attached to the septal leaflet of tricuspid valve while leaflet repair was needed. As a result, atrial flutter rhythm was converted into sinus rhythm after an incidental interruption of the macroreentrant circuit in the process of the tricuspid leaflet surgery. UR - https://jctm.mums.ac.ir/article_4382.html L1 - https://jctm.mums.ac.ir/article_4382_117c039dcb2ac25a68f4db6203d35297.pdf ER -