Infected Epicardial Pacemaker Lead Implanted in Childhood ; A Case Report

Abstract

A 59-year-old man underwent a reparative operation for tetralogy of Fallot and received an implanted epicardial pacemaker lead system in childhood. He was diagnosed with pacemaker infection in the left thoracic area. His generator was removed with partial resection of the epicardial leads, and a new device was implanted in his right prepectoral area. Debridement was performed several times. The wound did not heal, and residural epicardial pacemaker lead infection continued for 32 years. He came to our hospital and underwent complete removal of infected epicardial pacemaker lead through the 6th intercostal space. Postoperative course was uneventful. There was no sign of re-infection during a 6-month follow-up.