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KMID : 0358819890160060963
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1989 Volume.16 No. 6 p.963 ~ p.968
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LATISSIMUS DORSI MYOCUTANEOUS FLAP FOR EXPOSED CARDIAC PACEMAKER
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Shin Young-Jin
Lee Taik-Jong
Jun Eun-Suk
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Abstract
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Pacemaker was first achived by Chardack et al. in 1960. The principal indications are the complete heart block, congestive heart failure during complete heart block, and bradycardias ?? tachycardias in which drugs are ineffectual.
Exposure of the implanted pulse generator due to infection or pressure necrosis is common. The usual methods of dealing with this complication are wound irrigatons with antibiotic solutions, wound resuture or re-implantation of the pulse generator at another site, and local flap with skin graft.
We experienced a case of recurrent skin ulcerations with local infection overlying the pacemader. A Latissimus Dorsi myocutaneous flap was used successfully to provide soft tissue coverage of the exposed pacemaker and the patient was tolerable to the mild twitching of the lastissimus dorsi muscle. The myocutaneous flap was great value in reconstructing problem wounds because of their rich vascular supply and superior
resistance to infection.
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KEYWORD
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