Korean J Thorac Cardiovasc Surg.
2018 Oct;51(5):363-366. 10.5090/kjtcs.2018.51.5.363.
Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation
- Affiliations
-
- 1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. woonghan@snu.ac.kr
- 2Department of Thoracic and Cardiovascular Surgery, Cardiovascular Center, Sejong General Hospital, Korea.
- KMID: 2424755
- DOI: http://doi.org/10.5090/kjtcs.2018.51.5.363
Abstract
- One of the complications of permanent pacemaker implantation is unintended phrenic nerve stimulation. A 15-year-old boy with a permanent pacemaker presented with chest discomfort due to synchronous chest wall contraction with pacing beats. Even after reprogramming of the pacemaker, diaphragmatic stimulation persisted. Therefore, we performed thoracoscopic phrenic nerve insulation using a Gore-Tex patch to insulate the phrenic nerve from the wire. A minimally invasive approach using a thoracoscope is a feasible option for retractable phrenic nerve stimulation after pacemaker implantation.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Delayed Onset Transient Diaphragmatic Paralysis after Pacemaker Implantation
- Results of Permanent Cardiac Pacemaker Implantation in Ewha Womans University Mokdong Hospital
- Early Detection of Perforation of the Right Ventricle by a Permanent Pacemaker Lead
- A Case of Pacemaker Implantation after Balloon Venoplasty on Innominate Vein Stenosis
- A Case Report of Rare Complications after Epicardial Permanent Pacemaker Implantation in an Infant: Airway Compression, Skin Necrosis, and Bowel Perforation
