Reimplantation of a Pacemaker into a Subpectoral Pocket Via the Lateral Approach in Collaboration with Plastic Surgeons.

Internal medicine (Tokyo, Japan) 2020 Vol.59(7) p. 967-970

Takeuchi T, Yui H, Yui C, Itagaki T, Machida K, Tsujinaka Y, Fujimori A, Takahashi K, Otagiri K, Nakajima Y, Kasuga W, Kondoh S, Kitabayashi H

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Abstract

An 86-year-old woman had a pacemaker implanted into a subfascial pocket. After four months, the generator became exposed, and the pacemaker was removed. She exhibited a lack of prepectoral tissue. We therefore performed reimplantation in collaboration with plastic surgeons. We placed the leads via the extrathoracic subclavian venous approach, and plastic surgeons created a subpectoral pocket from the low lateral side of the pectoralis major muscle. General cardiologists rarely create subpectoral pockets and they are unable to implant leadless pacemakers at their hospital due to lack of sufficient skill. Our case showed that creating a subpectoral pocket in collaboration with plastic surgeons is quick and safe.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
기법 subpectoral 근막하 평면 dict 4
해부 Lateral scispacy 1
해부 prepectoral tissue scispacy 1
해부 pectoralis scispacy 1
해부 muscle scispacy 1
기법 subfascial 근막하 평면 dict 1
기타 woman scispacy 1
기타 subclavian venous scispacy 1

MeSH Terms

Aged, 80 and over; Defibrillators, Implantable; Female; Heart Diseases; Humans; Pacemaker, Artificial; Pectoralis Muscles; Replantation; Surgery, Plastic; Treatment Outcome

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