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A rare case of pacemaker electrode perforation of the heart with intra-abdominal migration

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in Cardiology

Images edited by James Hill, MD

A Rare Case of Pacemaker Electrode

Perforation of the Heart With

Intra-Abdominal Migration

Tal H¨orer, MD; M ˚arten Vidlund, MD; Peter Lindell, MD; Kjell Jansson, MD, PhD

¨

Orebro University Hospital, Department of General Surgery (H¨orer, Jansson), Sweden; ¨Orebro University Hospital, Department of Thorax Surgery (Vidlund), Sweden; ¨Orebro University Hospital, Department of Cardiology (Lindell), Sweden

Address for correspondence: Tal H¨orer, MD

Department of general surgery ¨

Orebro University Hospital Sweden

talherer@yahoo.com

Perforation and migration of pacemaker electrodes into the abdominal cavity is a very rare event. A 67-year-old woman was admitted to our institute with a nonfunctioning 2 week old chamber DDD pacemaker (due to sick sinus syndrome) and a chest film showing the electrodes under the diaphragm (Figure 1). A CT scan revealed an intra-abdominal localization of the electrodes frontal to

Figure 1.

the left liver segment (Figure 2). The electrodes where withdrawn in the operating room without any complication, and the patient successfully received new pacemaker electrodes.

Figure 2.

Received: December 4, 2010

Accepted with revision: December 16, 2010

Clin. Cardiol. (in press)

1

Published online in Wiley InterScience. (www.interscience.wiley.com)

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