Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Right Ventricular Perforation and Left Hemothorax by Permanent Transveneous Pacemaker Lead - Report of 1 Case-

영구 경정맥 심박조율기 도자에 의한 우심실 천공과 좌측 혈흉 -1예 보고-

  • Kim Jae Hyun (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Kim Gun Gyk (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Oh Sam Sae (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Baek Man Jong (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Kim Chong Whan (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Na Chan-Young (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute)
  • 김재현 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 김근직 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 오삼세 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 백만종 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 김종환 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 나찬영 (부천세종병원 흉부외과, 세종심장연구소)
  • Published : 2005.04.01
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Abstract

Bleeding due to cardiac perforation by endocardial pacemaker lead is a rare complication. We report one case of left hemothorax due to right ventricular perforation after the insertion of permanent transvenous pacemaker. Operative finding showed a pacing lead penetrating right ventricle, pericardium, and left pleura sequentially, but there was no evidence of hemopericardium.

심내막 심박조율기 이식 후 도자에 의한 심장 천공으로 출혈이 발생하는 경우는 드물다. 본원에서는 영구 경정맥 심박조율기 이식 후 우심실 천공에 의한 좌측 혈흉이 발생하였던 환자를 경험하였기에 보고하는 바이다. 수술 소견 상 심박조율기 도자가 우심실 천공 후 심낭막과 흉막을 차례로 관통하였으나 혈심낭 소견은 관찰되지 않았다.

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References

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