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一名89岁患者使用体外循环成功移除感染的起搏器导线。

Successful removal of an infected pacemaker lead using cardiopulmonary bypass in an 89-year-old patient.

作者信息

Murayama Hiroomi, Watanabe Takashi, Kida Naoki, Yano Takashi, Ohara Keiji, Kobayashi Atsukata

机构信息

Department of Thoracic and Cardiovascular Surgery, Toyohashi Municipal Hospital, 50 Aotake-cho, Hakken-nishi, Toyohashi, Aichi, 441-8570, Japan.

出版信息

J Artif Organs. 2005;8(3):214-6. doi: 10.1007/s10047-005-0306-z.

Abstract

We report the case of an 89-year-old patient suffering from endocarditis with septicemia caused by a growth on a pacemaker lead. The entire pacemaker system was successfully removed using cardiopulmonary bypass. Although the patient was an octogenarian in poor condition with a systemic infection, an aggressive operation with careful perioperative management gave a good clinical result. As far as we know, this is the oldest patient in whom a pacemaker system has been removed using cardiopulmonary bypass.

摘要

我们报告了一例89岁患者,患有由起搏器导线赘生物引起的心内膜炎合并败血症。使用体外循环成功移除了整个起搏器系统。尽管该患者是一位患有全身感染、身体状况不佳的八旬老人,但积极的手术及精心的围手术期管理取得了良好的临床效果。据我们所知,这是使用体外循环移除起搏器系统的年龄最大的患者。

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