Kinoshita Osamu, Amano Jun, Takano Tamaki, Kitahara Hiroto, Itou Kenichi, Uchikawa Shin-ichirou, Yazaki Yoshikazu, Imamura Hiroshi, Hongo Minoru, Kubo Keishi
Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan.
Angiology. 2004 Nov-Dec;55(6):697-9. doi: 10.1177/00033197040550i612.
A 73-year-old man with bradycardia and atrial fibrillation underwent implantation of a transvenous pacemaker system on the left anterior chest wall in 1995. Six years later, he was admitted for bacteremia from coagulase-negative Staphylococcus. Repeated treatment employing antibiotic therapy was ineffective. The infected electrode was removed under cardiopulmonary bypass. His electrode had become firmly encased with fibrous tissue within the right ventricle and atrium. It was removed under direct vision during complete cardiac arrest. The postoperative course was uneventful and there has been no recurrence after 1 year.
一名73岁患有心动过缓和心房颤动的男性于1995年在左前胸壁植入了经静脉起搏器系统。六年后，他因凝固酶阴性葡萄球菌引起的菌血症入院。采用抗生素治疗的反复治疗均无效。在体外循环下移除了感染的电极。他的电极已在右心室和心房内被纤维组织牢固包裹。在完全心脏停搏期间直视下将其移除。术后过程顺利，1年后未再复发。
