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Unusual complication of pacemaker implantation/revision: Secondary endocarditis due to fracture and embolization of an introducer sheath

Authors

  • Harry South MD,

    1. PGY-2 Internal Medicine, Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee
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  • Jujhar Bains MD,

    1. PGY-4 Division of Cardiology, Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee
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  • Jeffrey Hirsh MD

    Corresponding author
    1. PGY-4 Division of Cardiology, Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee
    • Division of Cardiology, Department of Medicine, University of Tennessee Graduate School of Medicine, 1940 Alcoa Highway, Building E, Suite 310, Knoxville, TN 37920
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  • Conflict of interest: Nothing to report.

Abstract

We report a 48-year-old male with a rare complication of pacemaker revision—fracture, migration, and secondary endocarditis due to a venous introducer sheath. We illustrate the possible mechanism of injury and discuss approaches to management. © 2011 Wiley Periodicals, Inc.

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