Koyama Sachi, Itatani Keiichi, Kyo Shunei, Aoyama Rie, Ishiyama Taizo, Harada Kazumasa, Ono Minoru
Department of Cardiac Surgery, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan.
Ann Thorac Cardiovasc Surg. 2013;19(1):73-5. doi: 10.5761/atcs.cr.11.01863. Epub 2012 May 31.
We report an 87-year-old woman with right ventricular perforation due to a permanent pacemaker lead detected 4-days after implantation. The pacemaker lead was seen to perforate through the myocardium and pericardium and to reach the left pleural cavity. We removed the wire surgically by median sternotomy. The pericardial effusion was cloudy and yellowish, suggesting infection. However, no bacteria were detected by bacterial cultures of the pericardial effusion and pacing wire. The patient developed neither mediastinitis nor sepsis after the operation, and a new pacemaker was implanted safely one month later.
我们报告一例87岁女性，在植入永久性起搏器导线4天后，因该导线导致右心室穿孔。可见起搏器导线穿透心肌和心包，进入左胸腔。我们通过正中胸骨切开术手术取出导线。心包积液浑浊且呈淡黄色，提示感染。然而，心包积液和起搏导线上的细菌培养均未检测到细菌。术后患者既未发生纵隔炎也未发生脓毒症，1个月后安全植入了新的起搏器。
