Vaideeswar P, Deshpande J R, Sivaraman A
Department of Pathology, Seth G S Medical College and K E M Hospital, Parel, Mumbai.
Indian J Pathol Microbiol. 2001 Jan;44(1):5-8.
The cardiac findings in five cases of permanent pacemaker implantation seen at autopsy in a three-year period is reported. Implantation was done for complete heart block in four patients and sick sinus syndrome in one. The periods of implantation ranged from seven days to four years. The common findings were right sided valvar and mural bland thrombus formation. Additional findings included superior vena caval thrombosis, endocardial 'tunnel' formation for the pacing wires, perforation of the tricuspid leaflet and a gross morphology similar to that seen in right sided endomyocardial fibrosis.
报告了在三年期间尸检中发现的五例永久性起搏器植入患者的心脏情况。其中四例患者因完全性心脏传导阻滞植入起搏器，一例因病态窦房结综合征植入。植入时间从七天到四年不等。常见的发现是右侧瓣膜和心壁形成非感染性血栓。其他发现包括上腔静脉血栓形成、起搏导线的心内膜“隧道”形成、三尖瓣小叶穿孔以及与右侧心内膜纤维化相似的大体形态。
