|
KMID : 0364020100430040421
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
2010 Volume.43 No. 4 p.421 ~ p.423
|
|
|
Removal of an Infected Permanent Pacemaker through a Right Atriotomy without Cardiopulmonary Bypass Via a Right Thoracotomy
|
|
Choi Kwang-Ho
Yoon Young-Chul
Park Kyung-Taek
Lee Yang-Haeng
Hwang Youn-Ho
Cho Kwang-Hyun
|
|
|
Abstract
|
|
|
|
A 52-year-old female presented with pain and swelling owing to recurrent inflammation on a generator pocket. She had undergone a permanent pacemaker implantation (DDD type) 7 years previously. We planned to insert a new pacemaker after removal of the previous generator and wires through a surgical approach. However, she had a history of the left modified radical mastectomy (MRM) with radiation therapy for breast cancer. For this patient, it would be difficult to care for the postoperative wound if we approached via the median sternotomy. Therefore, we decided to use a right atrial approach via a right thoracotomy. We removed the previous pacing wires through an atriotomy and inserted a new pacemaker using epicardial pacing leads without cardiopulmonary bypass. (Korean J Thorac Cardiovasc Surg 2010;43:421-423)
|
|
|
KEYWORD
|
|
|
Pacemaker, Infection, Thoracotomy
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|