ペースメーカリード穿孔により肺損傷をきたした1例

Surgical Treatment of Ventricular Perforation and Left Lung Injury by a Permanent Pacing Lead：Report of a Case

はじめに　経静脈的ペースメーカ植込み術（PMI）のまれな合併症として，リードの心臓穿孔がある．われわれは，リード穿孔により肺損傷をきたした症例を経験したので報告する．

A 84-year-old man was diagnosed with complete atrioventricular block and underwent pacemaker implantation （PMI）. Two days after the PMI, chest X-ray revealed left pneumothorax, and a chest tube was inserted. The pneumothorax did not improve, and computed tomography revealed left lung injury by the right ventricular lead. Surgical procedure through median sternotomy was performed, and the penetrated lead was removed. The injured right ventricle and left lung were repaired. Ten days after the surgical procedure, intravenous implantation of new right ventricular lead was performed. He was discharged 38 days after the surgical procedure.