Importance of Surgical Timing in Right-Side Cardiac Implantable Electronic Device Infective Endocarditis

Edoardo Maria D'Acierno; Natalia Pavone; Federico Cammertoni; Maria Calabrese; Piergiorgio Bruno; Rosa Lillo; Marialisa Nesta; Gessica Cutrone; Pierpaolo Tarzia; Antonio Maria Leone; Giancarlo Scoppettuolo; Annalisa Pasquini; Francesco Burzotta; Massimo Massetti

doi:10.1016/j.jaccas.2024.102977

Importance of Surgical Timing in Right-Side Cardiac Implantable Electronic Device Infective Endocarditis

JACC Case Rep. 2025 Mar 19;30(6 Pt 1):102977. doi: 10.1016/j.jaccas.2024.102977. Epub 2025 Jan 22.

Authors

Affiliations

¹ Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy.
² Department of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Electronic address: natalia.pavone@policlinicogemelli.it.
³ Department of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
⁴ Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy; Department of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
⁵ Center of Excellence in Cardiovascular Sciences, Isola Tiberina Hospital Gemelli Isola, Rome, Italy.
⁶ Dipartimento di Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Abstract

Cardiac impantable electronic device infective endocarditis (CIED-IE) is a life-threatening condition. We report 2 cases of large infective endocarditis in which differences in surgical timing affected outcomes. Patients with CIED-IE should be referred to a hub center with experienced specialists and undergo early complete device extraction without unnecessary delay.

Keywords: cardiac implantable electronic device; endocarditis; management.

Publication types

Case Reports