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Ali Dodge-Khatami
Carl L. Backer
René Prêtre
Constantine Mavroudis
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Ann Thorac Surg 2007;83:2230-2232
© 2007 The Society of Thoracic Surgeons

Case Reports

Migration and Colon Perforation of Intraperitoneal Cardiac Pacemaker Systems

Ali Dodge-Khatami, MD, PhDa,*, Carl L. Backer, MDb, Martin Meuli, MDc, René Prêtre, MDa, Maren Tomaske, MDd, Constantine Mavroudis, MDb

a Division of Congenital Cardiovascular Surgery, University Children’s Hospital, Zürich, Switzerland
c Department of Surgery, University Children’s Hospital, Zürich, Switzerland
d Division of Pediatric Cardiology, University Children’s Hospital, Zürich, Switzerland
b Division of Pediatric Cardiothoracic Surgery, Children’s Memorial Hospital, Chicago, Illinois

Accepted for publication December 21, 2006.

* Address correspondence to Dr Dodge-Khatami, Division of Congenital Cardiovascular Surgery, University Children’s Hospital Zürich, Steinwiesstrasse 75, Zürich, CH-8032, Switzerland (Email: ali.dodge-khatami{at}kispi.unizh.ch).

Epicardial pacemaker systems include pacing leads and a generator, which exceptionally may have to be implanted in the abdomen. We report three such pediatric cases where severe intraabdominal complications occurred owing to migration and erosion of the generators into visceral organs and urge extreme caution with this technique.






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