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Watchful Waiting in an Unusual Cause of Hypoxemia after Implantable Cardioverter-Defibrillator Lead Extraction

We present a case of 54‐year‐old female with a history of pacemaker implant for atrioventricular block at 16 years of age, affected by lead infection, with vegetations on the atrial… Click to show full abstract

We present a case of 54‐year‐old female with a history of pacemaker implant for atrioventricular block at 16 years of age, affected by lead infection, with vegetations on the atrial and ventricular lead and positive blood cultures, unresponsive to antibiotic therapy. Indications to lead extraction were confirmed, and the procedure was performed by involving the entire extraction team (electrophysiologist, cardiac surgeon, and anesthesiologist) in right‐sided thoracotomy for surgical access and double‐lumen endotracheal tube. The patient informed consent was obtained.

Keywords: lead extraction; cause hypoxemia; extraction; waiting unusual; watchful waiting; unusual cause

Journal Title: Annals of Cardiac Anaesthesia
Year Published: 2019

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