Progressive Dyspnea After CABG: Complication of Retained Epicardial Pacing Wires.
We report a case of progressive dyspnea and recurrent pneumonia after uneventful coronary artery bypass graft surgery caused by migration of retained epicardial pacing wires into the right upper lobe of the lung. Removal of the wires by open thoracotomy resulted in significant improvement in dyspnea and near complete resolution of the bronchiectasis and consolidation.
Horng
George S
GS
Division of Pulmonary and Critical Care Medicine, Stanford University Medical Center, Stanford, California 94305, USA. gsh@stanford.edu
Ashley
Euan
E
Balsam
Leora
L
Reitz
Bruce
B
Zamanian
Roham T
RT
D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D003327:Coronary Disease / Q000175:diagnosis / Q000601:surgery; D020878:Device Removal / Q000379:methods; D018450:Disease Progression; D004417:Dyspnea / Q000209:etiology* / Q000503:physiopathology; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome