title: A Permanent Epicardial Pacemaker Lead That Penetrated the Esophageal Wall 26 years After Implantation.
abstract: We treated a patient in whom a permanent epicardial pacemaker lead penetrated the esophageal wall 26 years after the index pacemaker implantation. A 28-year-old man with loss of appetite and weight loss underwent upper gastrointestinal endoscopy and was found to have a foreign body protruding into the esophagus. Computed tomography revealed an epicardial lead penetrating the esophageal wall. He had undergone pacemaker implantation with permanent epicardial leads when he was 2 years old. The lead was surgically removed.
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan. Electronic address: inoueshinya1972@yahoo.co.jp.
authors.forename: Shinya
authors.initials: S
authors.lastname: Inoue
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Hashizume
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Koizumi
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Hotoda
authors.affiliation: Department of Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan.
authors.forename: Hiroharu
authors.initials: H
authors.lastname: Shinozaki
mesh_terms: D000328:Adult; D054537:Atrioventricular Block / Q000151:congenital / Q000628:therapy; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects / Q000379:methods; D020878:Device Removal; D004567:Electrodes, Implanted / Q000009:adverse effects; D004868:Equipment Failure; D004947:Esophagus / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome