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BRONCHOCUTANEOUS FISTULA AS A LATE COMPLICATION OF PERMANENT EPICARDIAL PACING

CHARLES J. TEGTMEYER M.D.1, JAMES G. HUNTER JR. M.D.1, and THEODORE E. KEATS M.D.2

1 Assistant Professor of Radiology.
2 Professor and Chairman of the Department of Radiology.

Although local debridement and irrigation may control some pacemaker infections, the present case illustrates the need for careful monitoring of infected pacemakers. The value of the sinogram in the evaluation of infected pacemakers is demonstrated.

If the infection persists despite vigorous therapy, a sinogram should be obtained to ascertain the extent of the fistulous tract. The infected pacemaker is not an ordinary wound infection since the pacing wires lead inward to the heart.


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