Cardiac Surgery for the Patient with VVI Unipolar Pacing System: One Case.
- Author:
Hae Dong JUNG
1
;
Jong Bum CHUI
;
Hyung Ho CHOI
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chosun University, Kwangju, Korea.
- Publication Type:Case Report
- Keywords:
Cardiac pacemaker;
artificial;
Cardiac surgery
- MeSH:
Defibrillators;
Electrocoagulation;
Female;
Humans;
Middle Aged;
Mitral Valve;
Noise;
Thoracic Surgery*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(4):398-401
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 56-year-old female with a permanent unipolar pacing (VVI) system underwent elective coronary bypass surgery and mitral valve replacement. Because the unipolar sensing is subject to considerable nonmyocardial electrical noise, the pacing function may be disturbed by the use of electrocautery. Temporary atrial and ventricular bipolar epicardial leads and external generator were used for maintaining A-V sequential pacing during the use of electrocautery. Before aortic cross-clamp was released after cardiac operation, regular cardiac rhythm could spontaneously be resumed with an integrated cardioplegic strategy, avoiding the use of defibrillator.
