低侵襲心臓手術後に一時ペースメーカリード先端により気胸を生じた1例

Postoperative Pneumothorax Induced by Temporary Epicardial Pacing Wire Placed in Minimally Invasive Cardiac Surgery：Report of a Case

はじめに　一時ペースメーカは合併症の頻度も低く，血行動態を安定させるため心臓外科術後に広く利用されている．われわれは低侵襲心臓手術（MICS）後に術中留置したペースメーカリード先端により気胸を生じた症例を経験したため，文献的考察も交えて報告する．

We report a case of pneumothorax induced by the temporary epicardial pacing wire placement during minimally invasive atrium septum defect closure via right mini-thoracotomy. Temporary epicardial pacing wires are commonly employed in cardiac surgery with complications being rare. In this case, the wire sutured on the right surface of the right atrium directly contacted the right lung, resulting in pneumothorax, as the pericardium, harvested for atrium septum defect closure, was not sutured. Since conservative treatment was not effective, the patient underwent video assisted lung repair surgery. The postoperative course was otherwise uneventful, and the patient was discharged on the 10th postoperative day. Preventive measures such as positioning the wire on the anterior surface of the right atrium, should be considered to mitigate this risk.