心脏移植患者植入式心律转复除颤器贴片侵蚀

Implantable cardioverter defibrillator patch erosion in a heart transplant patient.

作者信息

Chilukuri S, Herlihy J P, Massumkhani G A, Duncan J M, Frazier O H

机构信息

Pulmonary Medicine and Critical Care, St. Luke's Episcopal Hospital, Baylor College of Medicine, Houston, Texas 77030, USA.

出版信息

Ann Thorac Surg. 2001 Jul;72(1):261-3. doi: 10.1016/s0003-4975(00)02566-2.

DOI:10.1016/s0003-4975(00)02566-2

PMID:11465194

Abstract

A 57-year-old man who had received an automatic implantable cardioverter defibrillator and subsequent orthotopic heart transplant presented to medical attention for hemoptysis. The hemoptysis was caused by the migration of the left ventricular patch of the automatic implantable cardioverter defibrillator, which had been left in place at the time of orthotopic heart transplant. The patch had eroded into the left lung. We recommend that implantable cardioverter defibrillators be removed completely at the time of heart transplantation to prevent subsequent complications.

摘要

一名57岁男性，曾接受自动植入式心脏复律除颤器植入术，随后接受了原位心脏移植，因咯血前来就医。咯血是由自动植入式心脏复律除颤器的左心室补片移位所致，该补片在原位心脏移植时留在了体内。补片已侵蚀到左肺。我们建议在心脏移植时将植入式心脏复律除颤器完全移除，以防止随后出现并发症。