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[经再次胸骨切开完全移除起搏器导线并行网膜固定术治疗感染性心外膜起搏器系统:1例报告]

[Infected Epicardial Pacemaker System Treated by Complete Removal of Pacemaker Leads and Omentopexy via Re-sternotomy:Report of a Case].

作者信息

Okada Shuichi, Hoshino Joji, Ezure Masahiko, Hasegawa Yutaka, Yamada Yasuyuki, Morishita Hiroyuki, Kanazawa Yuta, Kaga Tohru

机构信息

Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan.

出版信息

Kyobu Geka. 2021 May;74(5):370-373.

Abstract

A 66-year-old man was diagnosed with pacemaker pocket infection in the upper abdominal area. His generator was removed with partial resection of the epicardial leads, and a new device was reimplanted in his left prepectoral area. The abdominal wound was left open, and debridement was performed for several times. After the wound was cured, he complicated a chest pain and was diagnosed with residural epicardial pacemaker lead infection. He underwent complete removal of infected epicardial pacemaker leads and omentopexy under extracorporeal circulation via resternotomy. Postoperative course was uneventful. There was no sign of reinfection during the two-year follow-up.

摘要

一名66岁男性被诊断为上腹部起搏器囊袋感染。他的起搏器发生器被移除,同时部分切除心外膜导线,然后在左胸前区重新植入了一个新装置。腹部伤口敞开,进行了多次清创。伤口愈合后,他出现胸痛,被诊断为残留的心外膜起搏器导线感染。他通过胸骨切开术在体外循环下接受了感染的心外膜起搏器导线的完全切除和网膜固定术。术后过程顺利。在两年的随访期间没有再次感染的迹象。

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