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Pacemaker Dislocation into the Peritoneal Cavity Kazuhiro Tani 1 , Akira Murata 1 , Shota Nakagaki 1 , Shingo Otaka 1 , Masami Sotokawa 1 , Tetsuyuki Ueda 1 , Shuhei Fujita 1 , Kiyoshi Hatasaki 1 , Hidenori Iwasaki 2 , Takekatsu Saito 2 , Kunio Ota 2 1Department of Cardiovascular Surgery, Toyama Prefectual Central Hospital Keyword: neonate , pacemaker , dislocation pp.919-923
Published Date 2018/10/1
DOI https://doi.org/10.15106/j_kyobu71_919
  • Abstract
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A 16-day-old neonate with congenital complete atrioventricular block underwent epicardial pacemaker implantation under the rectus. Four months later, abodominal X-ray imaging revealed dislocation of the generator from the abdomen to the pelvis. The infant was diagnosed with intraperitoneal pacemaker dislocation. However, there were no abdominal manifestations or complications associated with the bowel, urinary tract, and vascular system. Surgical refixation was performed in a hybrid room. Fluoroscopy helped avoid bowel injury when removing the generator from the peritoneal cavity. The pacing lead, which was adherent and entangled with the omentum, was released under direct vision. The generator was placed in a new pocket created in the subcutaneous layer of the anterior fascia of the rectus.


© Nankodo Co., Ltd., 2018

基本情報

電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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