Santarpia Giuseppe, Sarubbi Berardo, D'Alto Michele, Romeo Emanuele, Calabro Raffaele
Department of Cardiology, Second University of Naples, Monaldi Hospital, Naples, Italy.
J Cardiovasc Med (Hagerstown). 2009 Apr;10(4):330-2.
Skin erosion caused by the pacemaker is widely documented, but the complete extrusion of the device is very rare. We describe the case of a 54-year-old woman who was admitted to hospital because of skin erosion, followed by the complete extrusion of the pacemaker pulse generator out of the subcutaneous pocket. The patient underwent a lead extraction procedure and a new pacemaker, in the contralateral side, was implanted. This case demonstrates that the early stages of skin erosion favoured by the device, if neglected, may cause more serious complications that may require the removal of the hardware.
起搏器引起的皮肤糜烂已有广泛记载,但设备完全挤出极为罕见。我们描述了一名54岁女性的病例,她因皮肤糜烂入院,随后起搏器脉冲发生器从皮下囊袋中完全挤出。患者接受了导线拔除手术,并在对侧植入了新的起搏器。该病例表明,由设备引发的皮肤糜烂早期阶段若被忽视,可能会导致更严重的并发症,进而可能需要移除硬件。