[微创心脏手术中放置临时心外膜起搏导线致术后气胸1例]。

Q4 Medicine
Taiki Niki, Naoto Fukunaga, Tatsuto Wakami, Akio Shimoji, Otohime Mori, Kosuke Yoshizawa, Nobushige Tamura
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引用次数: 0

摘要

我们报告一例在右小开胸微创心房间隔缺损闭合术中放置临时心外膜起搏导线引起的气胸。临时心外膜起搏导线常用于心脏手术,并发症很少。在本例中,缝合在右心房右表面的金属丝直接接触到右肺,导致气胸,因为没有缝合为缝合心房间隔缺损而采集的心包。由于保守治疗无效,患者接受了视频辅助肺修复手术。术后一切顺利,患者于术后第10天出院。应考虑采取预防措施,如将金属丝置于右心房前表面,以减轻这种风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Postoperative Pneumothorax Induced by Temporary Epicardial Pacing Wire Placed in Minimally Invasive Cardiac Surgery:Report of a Case].

We report a case of pneumothorax induced by the temporary epicardial pacing wire placement during minimally invasive atrium septum defect closure via right mini-thoracotomy. Temporary epicardial pacing wires are commonly employed in cardiac surgery with complications being rare. In this case, the wire sutured on the right surface of the right atrium directly contacted the right lung, resulting in pneumothorax, as the pericardium, harvested for atrium septum defect closure, was not sutured. Since conservative treatment was not effective, the patient underwent video assisted lung repair surgery. The postoperative course was otherwise uneventful, and the patient was discharged on the 10th postoperative day. Preventive measures such as positioning the wire on the anterior surface of the right atrium, should be considered to mitigate this risk.

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