Division of Cardiac Surgery, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada.
Division of Cardiac Surgery, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada.
Ann Thorac Surg. 2021 Jul;112(1):e23-e25. doi: 10.1016/j.athoracsur.2020.10.060. Epub 2021 Jan 4.
Temporary epicardial pacing wires are universally used in cardiac surgery and are associated with very low morbidity and mortality. Although rare, serious complications can occur with pacing wires. We present a case of avulsion of a saphenous vein graft side branch caused by removal of pacing wires and leading to pericardial tamponade. Our case favors the use of silk ties rather than hemoclips for occlusion of saphenous vein side branches and illustrates the importance of the location of pacing wires relative to the grafts at the time of coronary artery bypass surgery.
临时心外膜起搏导线在心脏外科手术中被广泛应用，其相关发病率和死亡率都非常低。虽然很少见，但起搏导线也可能出现严重并发症。我们报告了一例因移除起搏导线而导致的隐静脉旁路侧支撕脱，并导致心包填塞的病例。我们的病例倾向于使用丝线而不是血管夹来夹闭隐静脉侧支，并说明了在冠状动脉旁路移植术时起搏导线相对于移植物的位置的重要性。
