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冠状动脉搭桥术后双侧胸骨支气管瘘——留置的心外膜起搏导线是罪魁祸首吗？一例病例报告。

Bilateral sternobronchial fistula after coronary surgery--are the retained epicardial pacing wires responsible? A case report.

作者信息

Sakellaridis Timothy, Argiriou Michalis, Panagiotakopoulos Victor, Charitos Christos

机构信息

2nd Cardiac Surgery Department, Evagelismos General Hospital, Athens, Greece.

出版信息

J Cardiothorac Surg. 2009 Jun 24;4:26. doi: 10.1186/1749-8090-4-26.

DOI:10.1186/1749-8090-4-26
PMID:19552802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2711070/
Abstract

BACKGROUND

Temporary epicardial pacing wires are routinely used during cardiac surgery; they are dependable in controlling postoperative arrhythmias and are associated with low morbitity.

CASE REPORT

We report a case of sternobronchial fistula formation induced by the existence of retained epicardial pacing wires in a patient who underwent coronary surgery ten years ago.

CONCLUSION

Reported complications of retained epicardial pacing wires are unusual. We present this case in order to include it to the potential complications of the epicardial pacing wires.

摘要

背景

心脏手术期间常规使用临时心外膜起搏导线；它们在控制术后心律失常方面可靠且并发症发生率低。

病例报告

我们报告一例十年前接受冠状动脉手术的患者因保留的心外膜起搏导线导致胸骨支气管瘘形成的病例。

结论

报道的保留心外膜起搏导线的并发症并不常见。我们呈现此病例是为了将其纳入心外膜起搏导线的潜在并发症之中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac2/2711070/5674c40f14fe/1749-8090-4-26-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac2/2711070/2725af510abc/1749-8090-4-26-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac2/2711070/5674c40f14fe/1749-8090-4-26-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac2/2711070/2725af510abc/1749-8090-4-26-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cac2/2711070/5674c40f14fe/1749-8090-4-26-2.jpg

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本文引用的文献

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Progressive Dyspnea After CABG: Complication of Retained Epicardial Pacing Wires.
Ann Thorac Surg. 2008 Oct;86(4):1352-4. doi: 10.1016/j.athoracsur.2008.03.013.
2
Algorithm for primary closure in sternal wound infection: a single institution 10-year experience.胸骨伤口感染一期缝合的算法：单机构10年经验
Eur J Cardiothorac Surg. 2008 Feb;33(2):232-8. doi: 10.1016/j.ejcts.2007.11.016. Epub 2007 Dec 21.
3
Risk factors for mediastinitis after cardiac surgery - a retrospective analysis of 1700 patients.心脏手术后纵隔炎的危险因素——对1700例患者的回顾性分析
因心外膜起搏导线残留导致支气管皮肤瘘的形成：一项文献综述。
Ann Card Anaesth. 2016 Oct-Dec;19(4):683-686. doi: 10.4103/0971-9784.191567.
4
Late Development of a Bronchocutaneous Fistula due to an Epicardial Cardioverter-Defibrillator Lead.因心外膜心脏复律除颤器导线导致的支气管皮肤瘘的晚期发生
J Tehran Heart Cent. 2015 Apr 3;10(2):106-8.
5
The catastrophic journey of a retained temporary epicardial pacemaker wire leading to Enterococcus faecalis endocarditis and subsequent stroke.一根残留的心外膜临时起搏器导线引发粪肠球菌性心内膜炎及随后中风的灾难性历程。
BMJ Case Rep. 2015 Jan 7;2015:bcr2014206215. doi: 10.1136/bcr-2014-206215.
6
Is it safe to cut pacing wires flush with the skin instead of removing them?将起搏导线剪至与皮肤齐平而不是拔除，这样安全吗？
Interact Cardiovasc Thorac Surg. 2012 Dec;15(6):1047-51. doi: 10.1093/icvts/ivs397. Epub 2012 Sep 7.
J Cardiothorac Surg. 2007 May 20;2:23. doi: 10.1186/1749-8090-2-23.
4
The clinical and economic impact of deep chest surgical site infections following coronary artery bypass graft surgery.冠状动脉搭桥手术后深部胸部手术部位感染的临床和经济影响。
Chest. 2000 Aug;118(2):397-402. doi: 10.1378/chest.118.2.397.
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