Migration and colon perforation of intraperitoneal cardiac pacemaker systems.
Epicardial pacemaker systems include pacing leads and a generator, which exceptionally may have to be implanted in the abdomen. We report three such pediatric cases where severe intraabdominal complications occurred owing to migration and erosion of the generators into visceral organs and urge extreme caution with this technique.
Dodge-Khatami
Ali
A
Division of Congenital Cardiovascular Surgery, University Children's Hospital, Zürich, Switzerland. ali.dodge-khatami@kispi.unizh.ch
Backer
Carl L
CL
Meuli
Martin
M
Prêtre
René
R
Tomaske
Maren
M
Mavroudis
Constantine
C
D000328:Adult; D001145:Arrhythmias, Cardiac / Q000150:complications / Q000601:surgery*; D002304:Cardiac Pacing, Artificial / Q000379:methods; D002648:Child; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000150:complications; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010529:Peritoneal Cavity