Gayanilo Marjorie A, Rosenkranz Eliot R, Sandhu Satinder K, Kardon Richard E
Department of Pediatric Cardiology, Holtz Children's Hospital, University of Miami Miller School of Medicine, Miami, FL, USA.
World J Pediatr Congenit Heart Surg. 2014 Apr;5(2):315-7. doi: 10.1177/2150135113515278.
Transmyocardial migration of a retained temporary epicardial pacing wire has been rarely reported in adult patients after heart surgery. We present the case of a child in whom a temporary epicardial pacing wire was discovered incidentally in the right ventricular outflow tract one year after surgical repair of congenital heart disease. The pacing wire was subsequently extracted using the snare method during cardiac catheterization. Clinicians caring for patients after congenital heart surgery should be aware of this uncommon though potentially life-threatening complication.
保留的临时心外膜起搏导线经心肌迁移在心脏手术后的成年患者中鲜有报道。我们报告一例儿童病例，该患儿在先天性心脏病手术修复一年后，于右心室流出道偶然发现一根临时心外膜起搏导线。随后在心脏导管插入术期间使用圈套器方法取出了起搏导线。先天性心脏病手术后护理患者的临床医生应意识到这种虽不常见但可能危及生命的并发症。
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