title: Colonic injury from temporary epicardial pacing wires.
abstract: A 72-year-old man who had undergone a three-vessel coronary artery bypass grafting, aortic valve replacement, and tricuspid valve repair became comatose 1 week after the procedure. Signs of intraabdominal sepsis developed 6 days later, leading to laparotomy on his 12th postoperative day. The Intraoperative finding was a perforating injury to the transverse colon caused by the ventricular temporary pacing wires. A defunctioning double-barreled transverse colostomy was performed, after which the patient started to recover. He was discharged home 2 weeks later.
authors.affiliation: North of Scotland Cardiothoracic Center, Aberdeen Royal Infirmary, Aberdeen, United Kingdom. mudasiru.salami@nhs.net
authors.forename: Mudasiru A
authors.initials: MA
authors.lastname: Salami
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Coleman
authors.forename: Keith G
authors.initials: KG
authors.lastname: Buchan
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003106:Colon / Q000293:injuries*; D003125:Colostomy; D004567:Electrodes, Implanted / Q000009:adverse effects*; D006331:Heart Diseases / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010538:Peritonitis / Q000209:etiology