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起搏器导线致伤:主动固定永久性起搏器导线导致多器官穿孔

The bite of the lead: multiorgan perforation by an active-fixation permanent pacemaker lead.

作者信息

Madershahian Navid, Wippermann Jens, Wahlers Thorsten

机构信息

Department of Cardiothoracic Surgery, Cologne University Heart Centre, Kerpener St 62, D-50924 Cologne, Germany.

出版信息

Interact Cardiovasc Thorac Surg. 2010 Jul;11(1):93-4. doi: 10.1510/icvts.2010.234542. Epub 2010 Apr 13.

Abstract

In the presented case, a screw-in pacemaker lead migrated through the right ventricle, pericardium, left hemidiaphragm, and the left liver lobe into the epigastric region. The rarity of the case is based upon the multiorgan perforation without development of relevant pericardial effusion or intra-abdominal bleeding. Lead extraction was performed uneventfully.

摘要

在本病例中,一枚旋入式起搏器导线经右心室、心包、左半膈肌和左肝叶迁移至上腹部区域。该病例的罕见之处在于多器官穿孔但未出现相关心包积液或腹腔内出血。导线拔除过程顺利。

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