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Ann Thorac Surg 2008;86:1352-1354. doi:10.1016/j.athoracsur.2008.03.013
© 2008 The Society of Thoracic Surgeons
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Leora Balsam
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Case Reports

Progressive Dyspnea After CABG: Complication of Retained Epicardial Pacing Wires

George S. Horng, MDa,*, Euan Ashley, MB, ChB, DPhilb, Leora Balsam, MDc, Bruce Reitz, MDc, Roham T. Zamanian, MDa,d

a Division of Pulmonary and Critical Care Medicine, Stanford University Medical Center, Stanford, California
b Division of Cardiology, Stanford University Medical Center, Stanford, California
c Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, California
d Vera Moulton Wall Center for Pulmonary Vascular Disease, Stanford University Medical Center, Stanford, California

Accepted for publication March 6, 2008.

* Address correspondence to Dr Horng, Division of Pulmonary & Critical Care Medicine, Stanford University School of Medicine, 300 Pasteur Dr, Room H3143, Stanford, CA 94305 (Email: gsh{at}stanford.edu).

We report a case of progressive dyspnea and recurrent pneumonia after uneventful coronary artery bypass graft surgery caused by migration of retained epicardial pacing wires into the right upper lobe of the lung. Removal of the wires by open thoracotomy resulted in significant improvement in dyspnea and near complete resolution of the bronchiectasis and consolidation.






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