title: Intraperitoneal migration of epicardial pacemakers.
abstract: Intraperitoneal migration of epicardial leads and abdominally placed generators is a potentially serious complication. We report the case of an 83-year-old man who experienced intraperitoneal migration of an epicardial pacing system and consequent small-bowel obstruction. Laparotomy was required in order to free constrictive lead adhesions. The patient's postoperative recovery was satisfactory after the placement of a new pacemaker generator in the abdominal wall. Predisposing factors are analyzed and the literature is reviewed in order to clarify the mechanisms of sequelae associated with the migration of epicardial pacemakers from the abdominal wall. To the best of our knowledge, this is the 1st report of pacemaker migration having caused bowel obstruction that required urgent laparotomy in an adult.
authors.affiliation: Department of Cardiac Surgery, University Hospital, 15706 Santiago de Compostela, Spain.
authors.forename: José
authors.initials: J
authors.lastname: García-Bengochea
authors.forename: Miguel
authors.initials: M
authors.lastname: Caínzos
authors.forename: Angel L
authors.initials: AL
authors.lastname: Fernández
authors.forename: Fernando
authors.initials: F
authors.lastname: Santos
authors.forename: Francisco
authors.initials: F
authors.lastname: Gonzalez
mesh_terms: D000368:Aged; D020878:Device Removal; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D008297:Male; D010537:Peritoneum