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인공 심장박동 조율기를 삽입한 환자에서 대동맥 판막부위에 발생한 감염성 심내막염
백정선 ( Jung Sun Pack ),전희경 ( Hui Kyung Jeon ),곽재욱 ( Jae Wook Kawk ),장은철 ( Eun Chul Jang ),윤나리 ( Na Ri Youn ),신정아 ( Jung Ah Shin ),장기육 ( Ki Yuk Chang ) 대한내과학회 2007 대한내과학회지 Vol.73 No.3
Infective endocarditis related to pacemaker implantation is a rare complication. However, it is a potentially lethal complication with a mortality rate of 30 to 35%. Infective endocarditis associated with pacemaker implantation usually involves the right heart and tricuspid valve. Conservative treatment without complete removal of the entire pacing system is prone to fail (i.e. result in infection relapse or development of sepsis). Therefore, the total extraction of the entire pacemaker system should be considered as standard therapy for most patients with pacemaker-related endocarditis and for many patients with local infectious symptoms at the site of pacemaker implantation to achieve complete recovery. We report a case of a 42-year-old man with documented pacemaker related left-sided endocarditis that was associated with multiple embolic events. Also, we review the literature regarding pacemaker-related endocarditis and local wound infection, in particular with respect to the modalities of treatment.(Korean J Med 73:324-329, 2007)