局所麻酔下肋骨床小切開アプローチによる心筋電極縫着によりペースメーカー再植え込みが可能であった１例

• 奥村 悟

  国立滋賀病院心臓血管外科

• 前田 吉宣

  京都第二赤十字病院心臓血管外科

• 大川原 潤

  国立滋賀病院心臓血管外科

書誌事項

タイトル別名

• A Case of Myocardial Lead Fixation via a Small Costal Bed Thoracotomy Approach under Local Anesthesia

抄録

The patient was an 86-year-old man, whose medical history included pulmonary tuberculosis, pulmonary emphysema, hypothyroidism, subtotal gastrectomy for gastric cancer and proctectomy for rectal cancer. Since he suffered sick sinus syndrome (bradycardia-tachycardia syndrome), a DDD pacemaker was implanted using the right subclavian vein approach. Three months later, he suffered from a pacemaker infection of Methicillin-resistant Staphylococcus aureus. We performed extraction of the infected pacemaker system and implanted a new pacemaker. Because he had thoracic deformity, colostomy, and was in poor condition in general, we implanted the myocardial electrode through a small thoracotomy at the 6th costal bed under local anesthesia. The postoperative course was uneventful and there was no relapse of infection. Although this method is conventionally performed under general anesthesia, it is also possible to perform it under local anesthesia in selected patients. This method could be an alternative when endocardial electrode insertion is very difficult.

収録刊行物

• 日本心臓血管外科学会雑誌

  日本心臓血管外科学会雑誌 33 (4), 255-258, 2004

  特定非営利活動法人 日本心臓血管外科学会

キーワード

• ペースメーカー感染
• 肋骨床小開胸
• 心筋電極
• 高齢者

詳細情報

• CRID: 1390282679680320128
• NII論文ID: 130003629474
• NII論文ID: 110003992939
• NII書誌ID: AN00193284
• DOI: 10.4326/jjcvs.33.255
• ISSN: 18834108
• ISSN: 02851474
• Web Site: https://search.jamas.or.jp/link/ui/2004309519
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可