JCCVS
Journal of Cardiology & Cardiovascular Surgery

Journal of Cardiology & Cardiovascular Surgery scientific, open-access, double-blind peer-reviewed journal covering a wide spectrum of topics in cardiology and cardiovascular surgery.

eISSN: 2980-1397
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Case Report
Very late-onset pacemaker pocket infection presenting as a giant granulomatous mass
Abstract
Pacemaker-related infections are most commonly observed during the early postoperative period; however, in rare instances, they may present many years after device implantation. We report an unusual case of a giant granulomatous pacemaker pocket infection occurring 10 years after the initial implantation. The patient presented with localized inflammatory signs without systemic manifestations. Following surgical removal of the device and the associated mass, histopathological examination confirmed xanthogranulomatous inflammation. Staphylococcus epidermidis was isolated from tissue cultures. Complete device extraction combined with prolonged antimicrobial therapy resulted in full clinical resolution, followed by successful contralateral re-implantation. This case highlights the importance of maintaining long-term vigilance in patients with cardiac implantable electronic devices.

Keywords : Pacemaker infection, pocket infection, cardiac implantable electronic devices

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Article available in :
Volume 4, Issue 1, 2026
Page : 25-27
https://doi.org/10.51271/JCCVS-0072
Article Information
Received : 04 Oca 2026
Accepted : 25 Mar 2026
Published : 28 Mar 2026
Corresponding Author :

Berat Uğuz: Department of Cardiology, Bursa City Hospital, Bursa, Turkiye

[email protected]
Citation : Şentürk OK, Uğuz B, Zengin İ, Günay T, Uğuz İ. Very late-onset pacemaker pocket infection presenting as a giant granulomatous mass. J Cardiol Cardiovasc Surg. 2026;4(1):25-27. doi:10.51271/JCCVS-0072

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