[Removal of infected pacemaker leads in the elderly under extracorporeal circulation: two case reports and review of Japanese literature].
Two elder cases in whom infected pacemaker leads were removed under extracorporeal circulation (ECC) are reported. The leads could not be with drawn without direct sharp dissection under ECC because they had become firmly encased with fibrous tissue within the right ventricle. Postoperative courses were uneventful and neither of these patients has experienced recurrent infection to date. Removal with ECC seems to be a safe and effective procedure even in the elderly, provided that cardiac function is good.
Department of Cardiovascular Surgery, Hiroo Cosmopolitan General Hospital, Tokyo, Japan.
M
M
Sato
S
S
Konno
T
T
Maemura
K
K
Goto
Y
Y
Hayashibe
J
J
Ito
D000367:Age Factors; D000368:Aged; D016470:Bacteremia / Q000209:etiology / Q000601:surgery*; D004567:Electrodes, Implanted / Q000009:adverse effects; D005112:Extracorporeal Circulation; D005260:Female; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D012086:Reoperation; D013203:Staphylococcal Infections / Q000209:etiology / Q000601:surgery*