Sakagoshi N, Satoh S, Ikawa S, Monta O, Kitoh Y
Department of Cardiac Surgery, Kinan General Hospital, Tanabe, Japan.
Kyobu Geka. 1997 Oct;50(11):944-6.
A 61-year-old man with septicemia had four infected pacemaker leads, which were impossible to remove using simple traction method. He received CABG previously, and SVG anastomosed to LAD was patent. Redo median sternotomy had a possibility to make damage to SVG. Total removal of infected pacemaker was performed successfully with cardiopulmonary bypass through right thoracotomy.
一名患有败血症的61岁男性有四根感染的起搏器导线,无法用简单的牵引方法取出。他之前接受过冠状动脉旁路移植术(CABG),与左前降支(LAD)吻合的大隐静脉桥血管(SVG)通畅。再次正中胸骨切开术有可能损伤SVG。通过右胸切口在体外循环下成功地完全移除了感染的起搏器。