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Europace Advance Access originally published online on September 26, 2008
Europace 2008 10(11):1348-1349; doi:10.1093/europace/eun269
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

CASE REPORTS

Bizarre case of migration of a retained epicardial pacing wire

Gerd Juchem1,*, Karl Golczyk1, Carsten Kopf2, Bruno Reichart1 and Peter Lamm1

1 Department of Cardiac Surgery, University of Munich, Marchioninistr. 15, 81377 München, Germany; 2 Klinik Augustinum Munich, Munich, Germany

A 71-year-old woman, who had undergone mitral valve replacement procedure 2 years previously, presented with aortic and mitral prosthetic valve endocarditis. Preoperative examination demonstrated a wire-like structure coursing from the aortic bulb to the right carotid artery. The wire-like structure was removed during the mitral and aortic valve reoperation, and identified as an epicardial pacing wire, which was placed during the patients' first mitral valve operation. We suspect that the contaminated pacing wire migrated via the left atrium and left ventricle into the right carotid artery causing an infective endocarditis of the prosthetic mitral valve and the native aortic valve.

* Corresponding author. Tel: +49 89 7095 6462; fax: +49 89 7095 8873. E-mail address: gerd.juchem{at}med.uni-muenchen.de


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