Detection of Pacemaker Lead Infection by Fluorodeoxyglucose Positron Emission Tomography

Detection of Pacemaker Lead Infection by Fluorodeoxyglucose Positron Emission Tomography

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An 80-year-old man was implanted with a DDD pacemaker to treat his sick sinus syndrome in 1990.Eleven years later, he had a pocket infection and cutaneous inflammation.Blood cultures were negative, and 67Ga scintigraphy revealed uptake gildan midnight in the left subclavian region.However, intense abnormal fluorodeoxyglucose (FDG) uptake along the pacemaker leads was detected with positron emission tomography (PET).

Thoracotomy was performed, vegetations were removed from the right atrial wall and the tricuspid leaflet, encapsulating fibrous ryan garcia funko tissue was incised, and the lead was removed from the right ventricle.