Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Case Report of Rare Complications after Epicardial Permanent Pacemaker Implantation in an Infant: Airway Compression, Skin Necrosis, and Bowel Perforation

  • Kim, Woojung (Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital) ;
  • Kwak, Jae Gun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital) ;
  • Min, Jooncheol (Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital) ;
  • Kim, Woong-Han (Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital)
  • Received : 2019.05.28
  • Accepted : 2019.08.06
  • Published : 2020.04.05
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Abstract

Insertion of an epicardial pacemaker is a useful treatment for pediatric patients with an abnormal heart rhythm. However, there are limitations and concerns when implanting epicardial pacemakers in infants and neonates due to their small body size. We report a patient who experienced rare complications after implantation of a permanent pacemaker.

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References

  1. Kwak JG, Kim SJ, Song JY, et al. Permanent epicardial pacing in pediatric patients: 12-year experience at a single center. Ann Thorac Surg 2012;93:634-9. https://doi.org/10.1016/j.athoracsur.2011.09.072
  2. Dodge-Khatami A, Backer CL, Meuli M, Pretre R, Tomaske M, Mavroudis C. Migration and colon perforation of intraperitoneal cardiac pacemaker systems. Ann Thorac Surg 2007;83:2230-2. https://doi.org/10.1016/j.athoracsur.2006.12.037
  3. Kravarusic D, Chirdan L, Freud E. Laparoscopic-assisted retrieval of migrated intra-abdominal pacemaker generator. Pediatr Cardiol 2011;32:1196-8. https://doi.org/10.1007/s00246-011-9972-1
  4. Chaouki AS, Spar DS, Khoury PR, et al. Risk factors for complications in the implantation of epicardial pacemakers in neonates and infants. Heart Rhythm 2017;14:206-10. https://doi.org/10.1016/j.hrthm.2016.10.017
  5. Sohn B, Kwak JG, Lim JH, Kim WH. Epicardial permanent pacemaker implantation in the retrosternal space of a 2.3-kg infant. Interact Cardiovasc Thorac Surg 2018;27:469-70. https://doi.org/10.1093/icvts/ivy073

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