Surgical Experience With Right Atrial-Aortic Fistula and Penetration of the Superior Vena Cava by a Protruding Accufix Atrial J-Shaped Retention Wire
スポンサーリンク
概要
- 論文の詳細を見る
A 57-year-old woman who had a dual chamber pacemaker implanted in June 1990 for sick sinus syndrome had developed heart failure since 1993. Although fluoroscopy revealed that the proximal J-shaped retention wire of the lead had fractured and had protruded through the outer insulation in 1994, and also that the distal J-shaped retention wire of the lead had protruded through the outer insulation in 1997, a transthoracic echocardiographic examination diagnosed tricuspid valve regurgitation, suggesting that the right atrial-aortic fistula might have been over-looked. In an attempt to avoid migration of the J-shaped retention wire from the lead and to repair the tricuspid regurgitation, it was decided that an operation be performed; however, intraoperative transesophageal echocardiography showed a right atrial-aortic fistula. Intraoperative inspection also revealed that the right atrial-aortic fistula and penetration of the superior vena cava had been caused by the Accufix atrial J-shaped retention wire. Under total cardiopulmonary bypass and induced cardiac arrest, a right atriotomy was performed and the atrial and ventricular leads were removed from the tips. The atrial orifice of the fistula and the aortic orifice were closed. Finally, a new dual-chamber pacing system with bipolar epicardial pacing leads was implanted. Postoperative inspection revealed that the proximal retention wire had fractured, the tip of the retention wire had protruded through the outer insulation, and the distal J-shaped outer insulation was damaged.
- 社団法人日本循環器学会の論文
- 2002-10-20
著者
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SATO Tadashi
Department of Environmental Science, Faculty of Science, Niigata University
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Imamura Hiroji
Department of Thoracic Cardiovascular Surgery, Kansai Medical University
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Fujiwara Shoji
Department Of Thoracic Cardiovasculary Surgery Kansai Medical University
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Imamura Hiroji
Department Of Thoracic And Cardiovascular Surgery Kansai Medical University
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Imamura Hiroji
Depart. Of Surgery School Of Medicine Keio University
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Fujii Hirofumi
Cardiovascular Center Kansai Medical University
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KAWAGUCHI Hideki
Department of Geriatric Medicine, Osaka University Graduate School of Medicine
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Otani Hajime
Department of Thoracic and Cardiovascular Surgery, Kansai Medical University
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FUJIWARA Hiroyoshi
Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medi
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Nakao Yoshihisa
Department of Thoracic Cardiovasculary Surgery, Kansai Medical University
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Kido Masakuni
Department of Thoracic and Cardiovascular Surgery, Kansai Medical University
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Ninomiya Hideki
Department of Thoracic and Cardiovascular Surgery, Kansai Medical University
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Sato Tadashi
Department Of Thoracic And Cardiovascular Surgery Kansai Medical University
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Kido Masakuni
Department Of Thoracic And Cardiovascular Surgery
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Otani Hajime
Department Of Thoracic And Cardiovascular Surgery Kansai Medical University
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Nakao Yoshihisa
Department Of Thoracic And Cardiovascular Surgery Kansai Medical University
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Nakao Yoshihisa
Department Of Cardiovascular Surgery Tokyo Saiseikai Central Hospital
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Ninomiya Hideki
Department Of Thoracic And Cardiovascular Surgery Kansai Medical University
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Fujiwara Hiroyoshi
Department Of Orthopaedics Graduate School Of Medical Science Kyoto Prefectural University Of Medici
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Kawaguchi Hideki
Department Of Thoracic And Cardiovascular Surgery Kansai Medical University
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Kawaguchi Hideki
Department Of Cardiovascular Medicine Hokkaido University School Of Medicine
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Otani Hajime
Department Of Crop And Animal Science Faculty Of Agriculture Shinshu University
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Sato Tadashi
Department Of Biochemistry Research Laboratory Of Applied Biochemistry Tanabe Seiyaku Co. Ltd.
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Sato Tadashi
Department Of Applied Chemistry Faculty Of Science And Engineering Waseda Uiversity
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Fujiwara Shoji
Department of Life Science and Sustainable Chemistry, Faculty of Engineering, Center for Nano Science and Technology, Tokyo Polytechnic University
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