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CLINICAL CASE REPORT
Year : 2021  |  Volume : 34  |  Issue : 2  |  Page : 84-85

Management of a complicated ‘pacemaker pocket’ site infection


Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram 695011, Kerala, India

Correspondence Address:
Krishna Kumar Mohanan Nair
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram 695011, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-258X.326761

Pocket site infection after implantation of a pacemaker is a dreaded complication which requires removing the device and reimplanting it at a contralateral site. Difficulties arise when the patient is dependent on pacing and when there are issues with venous access at the contralateral site. We report a patient with pacemaker pocket site infection with congenital complete heart block managed with explantation of the device, semi-permanent pacing during antibiotic treatment, reimplantation of the device at the contralateral site and management of subtotal subclavian vein stenosis noted during reimplantation.


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