The wandering pacemaker: intraperitoneal migration of an epicardially placed pacemaker and femoral nerve stimulation.
A premature child with congenital complete heart block had an epicardial single-chamber pacemaker implanted at 2 days of age. At 21 months of age, while sitting or standing, the patient's right anterior thigh muscles contracted at her pulse rate. Surgical exploration revealed a free-floating pacemaker in her peritoneum. A new dual-chamber pacemaker was implanted into the abdominal wall with resolution of the child's symptoms.
Salim
M A
MA
Division of Cardiology, Department of Pediatrics, The University of Tennessee, 777 Washington Avenue, Suite 215, Memphis, TN 38105, USA.
DiSessa
T G
TG
Watson
D C
DC
D000005:Abdomen; D000328:Adult; D004567:Electrodes, Implanted; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology*; D006327:Heart Block / Q000151:congenital* / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D010138:Pacemaker, Artificial; D011247:Pregnancy; D012086:Reoperation