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The Journal of Thoracic and Cardiovascular Surgery, Vol 95, 908-911, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Delayed infection of the automatic implantable cardioverter- defibrillator. Current recognition and management

GH Almassi, GN Olinger, PJ Troup, PD Chapman and LR Goodman
Department of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee 53226.

Three cases of delayed infection of automatic implantable cardioverter- defibrillator devices without systemic manifestations are reported. Computed tomographic scan of the heart revealed fluid deep to the patch in each case. Sonication of explanted automatic implantable cardioverter-defibrillator patches facilitated the recovery of adherent microorganisms in one case. Management of this previously unrecognized problem is outlined.

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