Peters R W, Scheinman M M, Raskin S, Thomas A N
Am J Cardiol. 1980 May;45(5):1088-94. doi: 10.1016/0002-9149(80)90179-4.
Three patients with unusual complications after insertion of an epicardial pacemaker are described. In one patient pericarditis and severe cardiac tamponade developed that required emergency pericardiocentesis 8 weeks after pacemaker insertion. No evidence of myocardial perforation was observed at operation. In another patient two unusual complications developed: (1) migration of the pulse generator from the epigastric site of implantation into the pelvis, and (2) recurrent pericarditis with occult signs of constriction. In another patient recurrent pericarditis and clinical evidence of constriction developed. All three patients required pericardiectomy. Recurrent pericarditis after insertion of an epicardial pacemaker requires careful medical follow-up because either life-threatening tamponade or chronic constrictive pericarditis may develop.
本文描述了3例植入心外膜起搏器后出现异常并发症的患者。1例患者在起搏器植入8周后发生心包炎和严重心脏压塞，需要紧急心包穿刺引流。手术中未发现心肌穿孔迹象。另1例患者出现了两种异常并发症：（1）脉冲发生器从植入的上腹部位置迁移至盆腔；（2）复发性心包炎伴隐匿性缩窄体征。还有1例患者发生了复发性心包炎并有缩窄的临床证据。所有3例患者均需行心包切除术。心外膜起搏器植入后出现复发性心包炎需要仔细的医学随访，因为可能会发展为危及生命的心脏压塞或慢性缩窄性心包炎。
