Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 5 4 2010 10 15 202 204 Ali Kazemisaeed Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. Ali Moezzi Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. Akbar Shafiee Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. Fatemeh Ghazanchai Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 03 Pocket infection of a cardiac device is usually treated by removing the device and re-implanting it in a new site after complete treatment of the infection. This report illustrates a complicated case of pocket infection in the wake of the implantation of a permanent pacemaker (cardiac resynchronization therapy). The patient was treated conservatively through daily irrigation and dressing, broad-spectrum antibiotics, and debridement without the device being removed; the generator was kept out of the pocket for 5 weeks and then re-implanted in the same location successfully. The method of treatment presented herein can be of value, not least in the elderly population who might experience life-threatening events following the replacement of their cardiac devices. https://rhythm.tums.ac.ir/index.php/jthc/article/view/189 https://rhythm.tums.ac.ir/index.php/jthc/article/download/189/187