Document Detail

Open heart surgery in a patient with an implanted pacemaker: case report.
MedLine Citation:
PMID:  8492352     Owner:  NLM     Status:  MEDLINE    
When a patient has a pacemaker and requires operation, surgeons have to consider some possible intraoperative pacemaker complications induced by electrocautery. Electrocautery is commonly used during surgery to achieve hemostasis. However, this very effective tool may introduce innumerable problems in the paced patient, including irreversible damage to the pulse generator, pacemaker reprogramming, induction of a rise in the capture threshold, and ventricular fibrillation. Although electrocautery may be avoided in some surgical procedures, open heart surgery cannot be performed without it. One case is presented to illustrate how to achieve hemostasis while decreasing electric interference and how to protect the permanent pacemaker while avoiding those possible complications during the defibrillation. The purpose of this article is to call attention to potential problems induced by electrocautery and in an effect to facilitate the perioperative management of the paced patient undergoing open heart surgery.
K K Kuo; C C Chiu; Y F Chen; Y T Lin
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Gaoxiong yi xue ke xue za zhi = The Kaohsiung journal of medical sciences     Volume:  9     ISSN:  0257-5655     ISO Abbreviation:  Gaoxiong Yi Xue Ke Xue Za Zhi     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-06-17     Completed Date:  1993-06-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8603880     Medline TA:  Gaoxiong Yi Xue Ke Xue Za Zhi     Country:  TAIWAN    
Other Details:
Languages:  eng     Pagination:  113-7     Citation Subset:  D; IM    
Division of Cardiovascular Surgery, Kaohsiung Medical College, Taiwan, Republic of China.
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MeSH Terms
Aortic Valve / surgery*
Cardiac Output
Cardiac Surgical Procedures*
Hemostasis, Surgical
Middle Aged
Pacemaker, Artificial*

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