A case report of pacemaker endocarditis presenting as osteitis in a high surgical risk patient: A management challenge with thromboaspiration and leadless pacemaker implantation

Clicks: 1
ID: 322971
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal

Ranked #216 of 247 articles by views in European Heart Journal - Case Reports

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 247 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Cardiac implantable electronic device-related infective endocarditis is a serious and increasingly frequent complication, often presenting atypically in frail patients with multiple comorbidities. Case Summary We report the case of an 83-year-old man admitted with fever and heel pain, who developed heart failure symptoms. Investigations revealed Staphylococcus aureus bacteremia, osteitis, spondylodiscitis, and a large tricuspid valve vegetation (26 mm) attached to the pacemaker lead, complicated by pulmonary embolism. Given his high surgical risk and resistant Gram-positive bacteremia, a multidisciplinary endocarditis team opted for percutaneous vegetation thromboaspiration, complete device extraction, and pacing was ensured via an externalized temporary-permanent pacing system. After infection clearance, a leadless pacemaker was successfully implanted. The clinical outcome was favorable, with no recurrence or complications on follow-up. Conclusion This case emphasizes the importance of early suspicion, advanced imaging, and tailored management of CIED-related endocarditis. Leadless pacemakers and percutaneous aspiration represent valuable strategies in high-risk patients to reduce infection recurrence and embolic risk.
Reference Key
openalex_W7171775878 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Wassim Beladel, Zakaria Chaib, Caroline Birgy, Isabelle Lecardonnel, Mohamed El Minaoui
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag576
URL
https://doi.org/10.1093/ehjcr/ytag576
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.