Removal of an Infected Permanent Pacemaker through a Right Atriotomy without Cardiopulmonary Bypass Via a Right Thoracotomy.
- Author:
Kwang Ho CHOI
1
;
Young Chul YOON
;
Kyung Taek PARK
;
Yang Haeng LEE
;
Youn Ho HWANG
;
Kwang Hyun CHO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University, Korea. ppcsyoon@hanmail.net
- Publication Type:Case Report
- Keywords:
Pacemaker;
Infection;
Thoracotomy
- MeSH:
Breast Neoplasms;
Cardiopulmonary Bypass;
Female;
Humans;
Inflammation;
Mastectomy, Modified Radical;
Middle Aged;
Sternotomy;
Thoracotomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(4):421-423
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 52-year-old female presented with pain and swelling owing to recurrent inflammation on a generator pocket. She had undergone a permanent pacemaker implantation (DDD type) 7 years previously. We planned to insert a new pacemaker after removal of the previous generator and wires through a surgical approach. However, she had a history of the left modified radical mastectomy (MRM) with radiation therapy for breast cancer. For this patient, it would be difficult to care for the postoperative wound if we approached via the median sternotomy. Therefore, we decided to use a right atrial approach via a right thoracotomy. We removed the previous pacing wires through an atriotomy and inserted a new pacemaker using epicardial pacing leads without cardiopulmonary bypass.
