Vacuum-assisted Right Atrial Infected Clot Extraction Due to Persistent Bacteraemia: a Percutaneous Approach for the Management of Right-sided Endocarditis

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2018 Sep 6

PMID 30181406

Citations 5

Authors

Mashrafi Ahmed

Jaime Hernandez Montford

Evan Lau

Affiliations

Soon will be listed here.

Abstract

A 56-year-old woman with non-ischaemic cardiomyopathy with implantable cardioverter defibrillator (ICD) presented to the hospital with progressive dyspnoea of 4 weeks' duration. She soon spiralled down to develop septic shock with methicillin-sensitive bacteraemia. A transoesophageal echocardiogram revealed a 2.4×2.1 cm large mobile echodensity in the right atrium likely attached to the ICD lead and to the interatrial septum. Although the ICD along with its leads was extracted, bacteraemia persisted despite appropriate antibiotic therapy. Because of her worsening condition, she underwent a right atrial infected clot extraction by the AngioVac system. Her clinical condition noticeably improved soon after evacuation of the infected clot.

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