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KMID : 0364020180510050363
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Korean Journal of Thoracic and Cardiovascular Surgery
2018 Volume.51 No. 5 p.363 ~ p.366
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Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation
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Kang Yoon-Jin
Kim Eung-Rae
Kwak Jae-Gun
Kim Woong-Han
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Abstract
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One of the complications of permanent pacemaker implantation is unintended phrenic nerve stimulation. A 15-year-old boy with a permanent pacemaker presented with chest discomfort due to synchronous chest wall contraction with pacing beats. Even after reprogramming of the pacemaker, diaphragmatic stimulation persisted. Therefore, we performed thoracoscopic phrenic nerve insulation using a Gore-Tex patch to insulate the phrenic nerve from the wire. A minimally invasive approach using
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KEYWORD
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Minimally invasive surgical procedures, Phrenic nerve, Thoracoscopy, Artificial pacemakers
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