心脏外膜临时起搏导线 10 个月后迁移至右心，在冠状动脉旁路手术后。

Temporary Epicardial Pacing Wire Migration into the Right Heart, 10 Months after Coronary Artery Bypass Surgery.

机构信息

Department of Cardiothoracic Surgery, School of Medicine, Inje University, Sanggye Paik Hospital, Seoul, South Korea.

Department of Cardiology, School of Medicine, Inje University, Sanggye Paik Hospital, Seoul, South Korea.

出版信息

Heart Surg Forum. 2020 Mar 24;23(2):E168-E170. doi: 10.1532/hsf.2781.

DOI:10.1532/hsf.2781

PMID:32364908

Abstract

Migrations of retained temporary epicardial pacing wires (TEPWs) are rare and critical complications of cardiac surgery. A 73-year-old man who had received coronary artery bypass graft (CABG) with retained TEPW 10 months previously visited the outpatient clinic. In routine echocardiography, we observed an artificial structure in the right heart. We performed computed tomography (CT), identified TEPW in the right heart, confirmed the TEPW migration process by comparing it with previous CTs, and removed it via catheter intervention. We report this rare case because we identified TEPW in the heart, determined its migration process, and removed it without complications.

摘要

遗留的临时心外膜起搏导线（TEPW）迁移是心脏手术罕见且严重的并发症。一位 73 岁男性，10 个月前接受了冠状动脉旁路移植术（CABG）并保留了 TEPW，因常规超声心动图发现右心存在人工结构而到门诊就诊。我们进行了计算机断层扫描（CT）检查，在右心发现了 TEPW，通过与之前的 CT 对比，确认了 TEPW 的迁移过程，并通过导管介入将其取出。我们报告这个罕见病例，是因为我们在心脏内识别了 TEPW，确定了其迁移过程，并成功地在无并发症的情况下将其取出。