title: [Pacemaker implanted in right inguinal region following removal of infected generator; report of a case].
abstract: We treated a 62-year-old male who had previously undergone a mitral valve plasty and aorto-coronary bypass. One year after the operation, he underwent pacemaker implantation for atrial fibrillation. Two months following implantation, the pacemaker generator was exposed due to a methicillin-resistant Staphylococcus aureus (MRSA) infection. We selected a new catheter route from the right saphenous vein, and implanted a generator under the fascia of the external oblique abdominal muscle. Thereafter, the pacemaker is functioning without trouble and there is no evidence of infection.
authors.affiliation: Department of Cardiovascular Surgery, Kanazawa Heart-Center, Kanazawa, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Ueyama
authors.forename: Y
authors.initials: Y
authors.lastname: Tsuda
authors.forename: A
authors.initials: A
authors.lastname: Kambara
authors.forename: T
authors.initials: T
authors.lastname: Ueyama
mesh_terms: D001281:Atrial Fibrillation / Q000628:therapy; D020878:Device Removal; D006801:Humans; D007264:Inguinal Canal; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D010138:Pacemaker, Artificial; D016459:Prosthesis-Related Infections / Q000209:etiology*; D013203:Staphylococcal Infections / Q000209:etiology