Migration of a Retained Epicardial Pacing Wire into the Pulmonary Artery
- VernacularTitle:心臓手術後に一時的心外膜ペーシングワイヤーの肺動脈内迷入を認めた1例
- Author:
Ai SAKAI
1
;
Yoshitaka YAMAMOTO
1
;
Hiroki NAKABORI
1
;
Naoki SAITO
1
;
Junko KATAGIRI
1
;
Hideyasu UEDA
1
;
Keiichi KIMURA
1
;
Kenji IINO
1
;
Akira MURATA
1
;
Hirofumi TAKEMURA
1
Author Information
- Keywords: retained epicardial pacing wires; migration; complication
- From:Japanese Journal of Cardiovascular Surgery 2022;51(6):345-349
- CountryJapan
- Language:Japanese
- Abstract: Pericardial pacing wire placement may occasionally result in intravascular or intratracheal wire migration, infective endocarditis, and sepsis; reportedly, the incidence of complications is approximately 0.09 to 0.4%. We report a case of a retained epicardial pacing wire that migrated into the pulmonary artery. A 66-year-old man underwent coronary artery bypass grafting for angina pectoris, with placement of an epicardial pacing wire on the right ventricular epicardium, 6 years prior to presentation. Some resistance was encountered during wire extraction; therefore, it was cut off at the cutaneous level on postoperative day 8. Computed tomography performed 6 years postoperatively revealed migration of the pacing wire into the pulmonary artery, and it was removed using catheter intervention. Surgeons should be aware of complications associated with retained pacing wires in patients in whom epicardial wires are retained after cardiac surgery.
