Garg Naveen, Moorthy Nagaraja
Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Asian Cardiovasc Thorac Ann. 2012 Dec;20(6):718-20. doi: 10.1177/0218492312441357.
The majority of pacemaker pocket or lead erosions are due to either mechanical erosion by the bulky pulse generator or secondary to pacemaker pocket infection. We describe an unusual case of delayed pacemaker lead erosion causing extrusion of a portion of the pacing lead, with separate entry and exit points, with the gap filled with new skin formation, simulating the "Loch Ness Monster", which was successfully managed conservatively by surgical reinsertion.
大多数起搏器囊袋或导线侵蚀是由笨重的脉冲发生器的机械侵蚀或继发于起搏器囊袋感染所致。我们描述了一例罕见的迟发性起搏器导线侵蚀病例,导致部分起搏导线挤出,有单独的进出点,间隙被新形成的皮肤填充,形似“尼斯湖水怪”,通过手术重新植入成功地进行了保守处理。