Korean J Thorac Cardiovasc Surg.  2009 Apr;42(2):256-258.

Pacing Wire Removal Via a Right Atriotomy: A Patient with Infected Permanent Pacemaker and Who Previously Underwent CABG: A case report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. hyunsong@amc.seoul.kr
  • 2Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Korea.

Abstract

A 63-year-old man who had a permanent pacemaker placed 17 years ago presented to us with local inflammatory signs on his chest. The skin was opened to remove the permanent pacemaker. However, the pacing wire was not easily removed. So, the permanent pacemaker was removed from the chest with leaving the remnant wire inside. However, the local infection recurred because of the remnant wire. Right thoracotomy was performed and cardiopulmonary bypass was started. After total circulatory arrest, the right atrium was opened and the wire was completely removed.

Keyword

Pacemaker; Infection; Heart surgery

MeSH Terms

Cardiopulmonary Bypass
Heart Atria
Humans
Middle Aged
Skin
Thoracic Surgery
Thoracotomy
Thorax
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