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Malplacement of a Pacemaker Lead — A Rare Cause for Aortic Valve Endocarditis

Department of Cardiac Surgery
¹ Department of Cardiology, Heart Center Dresden University Hospital, Dresden, Germany

For reprint information contact: Klaus Matschke, MD Tel: 49 351 450 1809 Fax: 49 351 450 1707 Email: K.Ploetze{at}herzzentrum-dresden.com, Department. of Cardiac Surgery, University Hospital, Heart Center Dresden Ltd, Fetscherstr. 76, D-01307 Dresden, Germany.

Infective endocarditis of native valves following pacemaker implantation is rare but can be associated with serious complications, approaching a mortality of up to 25%.¹ Recent publications report a frequency of pacemaker related endocarditis between 0.5 and 7%.² Due to anatomical reasons the tricuspid valve is mostly affected in these patients, with involvement of the left heart valves usually secondary. We report an incidence of native aortic valve endocarditis due to a misplaced pacemaker lead into the left heart.