Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation.
10.5090/kjtcs.2018.51.5.363
- Author:
Yoonjin KANG
1
;
Eung Rae KIM
;
Jae Gun KWAK
;
Woong Han KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. woonghan@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Minimally invasive surgical procedures;
Phrenic nerve;
Thoracoscopy;
Artificial pacemakers
- MeSH:
Adolescent;
Humans;
Male;
Minimally Invasive Surgical Procedures;
Pacemaker, Artificial;
Phrenic Nerve*;
Polytetrafluoroethylene;
Thoracic Wall;
Thoracoscopes;
Thoracoscopy;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2018;51(5):363-366
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 a thoracoscope is a feasible option for retractable phrenic nerve stimulation after pacemaker implantation.
