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Images in emergency medicine
Permanent pacemaker wire infective endocarditis
  1. Laurence Weinberg1,
  2. Jon Fernandes1,
  3. Scott Carson2,
  4. Matthew Slade3,
  5. Philip Hayward2
  1. 1Department of Anaesthesia, Austin Hospital, Melbourne, Australia
  2. 2Department of Cardiac Surgery, Austin Hospital, Melbourne, Australia
  3. 3Department of Cardiology, Austin Hospital, Melbourne, Australia
  1. Correspondence to Dr Laurence Weinberg, Department of Anaesthesia, Austin Hospital, 154 Studley Road, Heidelberg, Victoria 3084, Australia; laurence.weinberg{at}austin.org.au

https://doi.org/10.1136/emj.2009.084061

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    Clinical picture

    A 79-year-old man presented to our Emergency Department with septic shock and congestive heart failure secondary to infective endocarditis of his right ventricular pacing system. He had undergone recent resynchronisation biventricular pacing for dilated cardiomyopathy and moderate rheumatic mitral stenosis. Transoesophageal echocardiography revealed multiple large fibrin-plated thrombi attached to …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; not externally peer reviewed.