Migration of a Temporary Epicardial Pacing Wire into the Ascending Aorta
10.4326/jjcvs.44.350
- VernacularTitle:心臓手術後に一時的心外膜ペーシングワイヤーが上行大動脈内に迷入した1例
- Author:
Satoru Makita
;
Toshiyuki Maruyama
- Publication Type:Journal Article
- Keywords:
temporary epicardial pacing wire;
migration;
aorta;
complications
- From:Japanese Journal of Cardiovascular Surgery
2015;44(6):350-353
- CountryJapan
- Language:Japanese
-
Abstract:
A 77-year-old woman was referred to our hospital for the treatment of aortic insufficiency and paroxysmal atrial fibrillation. She underwent aortic valve replacement, pulmonary vein isolation and left atrial appendectomy. Temporary epicardial pacing wires (TEPWs) were placed on the right ventricle at the operation, and were cut flush with her skin surface prior to discharge because of difficulty in traction removal. She was discharged in good condition. Sixteen days after her discharge, she was re-admitted for fever. A computed tomography revealed cellulitis of the chest, and migration of one retained TEPW extending from the ascending aorta to the right subclavian artery. Removal of the migrated TEPW and sternal resection with omentopexy for sternal osteomyelitis were performed. Her postoperative course was uneventful. TEPWs should be completely removed when possible. If TEPWs are retained, this should be kept in mind when the patient presents with complications postoperatively.
