The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 404-407, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Retention of pacemaker electrode complicated by Serratia marcescens septicemia. Removal with total cardiopulmonary bypass
SB Saab, JY Jung and CH Almond
A case in which Serratia marcescens septicemia complicated the insertion of
a transvernous pacemaker unit is reported. Appropriate antibiotic therapy
and removal of the pacemaker electrode are two essential steps to achieve a
complete cure in this stimulation. Open cardiotomy with total
cardiopulmonary bypass provides a safe approach for withdrawal of an
incarcerated electrode and is justified because of the lethal potential of
systemic Serratia infections, particularly those superimposed on
intracardiac prostheses.