Removal of an Infected Permanent Pacemaker through a Right Atriotomy without Cardiopulmonary Bypass Via a Right Thoracotomy

Kwang Ho Choi, Young-Chul Yoon, Kyung-Taek Park, Yang-Haeng Lee, Youn-Ho Hwang, Kwang-Hyun Cho
2010 Korean Journal of Thoracic and Cardiovascular Surgery  
A 52-year-old female presented with pain and swelling owing to recurrent inflammation on a generator pocket. She had undergone a permanent pacemaker implantation (DDD type) 7 years previously. We planned to insert a new pacemaker after removal of the previous generator and wires through a surgical approach. However, she had a history of the left modified radical mastectomy (MRM) with radiation therapy for breast cancer. For this patient, it would be difficult to care for the postoperative wound
more » ... postoperative wound if we approached via the median sternotomy. Therefore, we decided to use a right atrial approach via a right thoracotomy. We removed the previous pacing wires through an atriotomy and inserted a new pacemaker using epicardial pacing leads without cardiopulmonary bypass. (Korean J Thorac Cardiovasc Surg 2010;43:421-423)
doi:10.5090/kjtcs.2010.43.4.421 fatcat:zajvwyh7pzhlbntd5wzdtcqwji