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Migration of a Temporary Epicardial Pacing Wire into the Aorta Following Open Heart Surgery Yuichi Morita 1 , Noritsugu Morishige 1 , Yoshio Hayashida 1 , Masahiro Osumi 1 1Department of Cardiovascular Surgery, Saiseikai Fukuoka General Hospital Keyword: pacing wire , migration , open heart surgery pp.418-421
Published Date 2019/6/1
DOI https://doi.org/10.15106/j_kyobu72_418
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The patient was a 76-year-old female. An epicardial pacing wire was inserted in an open heart surgery. As there was some resistance when extracting it, it was cut off at the cutaneous level. Ten months after discharge, she was referred to our hospital for further examination due to a flap found in the left external carotid artery by the carotid echography. The remaining wire was found between the ascending aorta and the left external carotid artery by computed tomography (CT). It was considered that the wire, with no resistance after being cut off, became isolated, pierced the ascending aorta, moved further by the heart beat, and reached the left external carotid artery. Surgery was performed via median re-sternotomy and left common carotid artery incision, since the proximal edge of the wire remained in the mediastinal space. It is quite rare for a remaining pacing wire to migrate into the aorta.


© Nankodo Co., Ltd., 2019

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

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