A Case of Recurrent Pacemaker Twiddler's Syndrome.
10.4070/kcj.1989.19.2.349
- Author:
Jeong Gwan CHO
;
Myung Ho JEONG
;
Soon Chul SHIN
;
Seung Jin YANG
;
Chan Hyung PARK
;
Gwang Chae GILL
;
Keal Woo CHO
;
Jong Chun PARK
;
Jung Chaee KANG
- Publication Type:Case Report
- Keywords:
Recurrent pacemaker twiddler's syndrome;
Dacron pouch
- MeSH:
Adolescent;
Dyspnea;
Electrophysiologic Techniques, Cardiac;
Fascia;
Female;
Heart Block;
Humans;
Incidence;
Polyethylene Terephthalates;
Syncope
- From:Korean Circulation Journal
1989;19(2):349-354
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pacemaker twiddler's syndrome is reported as a very rare complication of permanent pacemaker implantation. There was a recent report suggesting that the incidence of pacemaker twiddler's syndrome increase recently presumably as a result of the implantation of thinner and smaller pacemaker system than before. We experienced a case of pacemaker twiddler's syndrome complicated 3 times with the conventional method of implantation or replacement during 14 months after the first implantation(Optims MP 158C and Pacing lead 400, Telectronic)on June 13th 1987. This case was an 18 year-old high school girl who had suffered frequent syncope for 2 years and extertionl dyspnea for 5 years due to congenital complete heart block, of which block site was proved to be AV nodal by His bundle electrogram. Pacemaker twiddler's syndrome developed 3 times;firstly 6 weeks after the first implantation in the right subclavicular fossa, secondly 10 weeks after the replacement of the twisted pacing lead, thirdly 10 months after the change of implantation site to the left subcalvicular fossa with the replacement of the twisted and fractured lead. Finally, the pacemaker generator was anchored to the clavicular periostium and pectoralis fascia at several points by using Dacron pouch.
