Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation

One of the complications of permanent pacemaker implantation is unintended phrenic nerve stimulation. A 15-year-old boy with a permanent pacemaker presented with chest discomfort due to synchronous chest wall contraction with pacing beats. Even after reprogramming of the pacemaker, diaphragmatic sti...

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Detalles Bibliográficos
Autores principales: Kang, Yoonjin, Kim, Eung Rae, Kwak, Jae Gun, Kim, Woong-Han
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200176/
https://www.ncbi.nlm.nih.gov/pubmed/30402399
http://dx.doi.org/10.5090/kjtcs.2018.51.5.363
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author Kang, Yoonjin
Kim, Eung Rae
Kwak, Jae Gun
Kim, Woong-Han
author_facet Kang, Yoonjin
Kim, Eung Rae
Kwak, Jae Gun
Kim, Woong-Han
author_sort Kang, Yoonjin
collection PubMed
description One of the complications of permanent pacemaker implantation is unintended phrenic nerve stimulation. A 15-year-old boy with a permanent pacemaker presented with chest discomfort due to synchronous chest wall contraction with pacing beats. Even after reprogramming of the pacemaker, diaphragmatic stimulation persisted. Therefore, we performed thoracoscopic phrenic nerve insulation using a Gore-Tex patch to insulate the phrenic nerve from the wire. A minimally invasive approach using a thoracoscope is a feasible option for retractable phrenic nerve stimulation after pacemaker implantation.
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spelling pubmed-62001762018-11-06 Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation Kang, Yoonjin Kim, Eung Rae Kwak, Jae Gun Kim, Woong-Han Korean J Thorac Cardiovasc Surg Case Report One of the complications of permanent pacemaker implantation is unintended phrenic nerve stimulation. A 15-year-old boy with a permanent pacemaker presented with chest discomfort due to synchronous chest wall contraction with pacing beats. Even after reprogramming of the pacemaker, diaphragmatic stimulation persisted. Therefore, we performed thoracoscopic phrenic nerve insulation using a Gore-Tex patch to insulate the phrenic nerve from the wire. A minimally invasive approach using a thoracoscope is a feasible option for retractable phrenic nerve stimulation after pacemaker implantation. The Korean Society for Thoracic and Cardiovascular Surgery 2018-10 2018-10-05 /pmc/articles/PMC6200176/ /pubmed/30402399 http://dx.doi.org/10.5090/kjtcs.2018.51.5.363 Text en Copyright © 2018 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kang, Yoonjin
Kim, Eung Rae
Kwak, Jae Gun
Kim, Woong-Han
Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation
title Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation
title_full Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation
title_fullStr Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation
title_full_unstemmed Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation
title_short Thoracoscopic Patch Insulation for Phrenic Nerve Stimulation after Permanent Pacemaker Implantation
title_sort thoracoscopic patch insulation for phrenic nerve stimulation after permanent pacemaker implantation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200176/
https://www.ncbi.nlm.nih.gov/pubmed/30402399
http://dx.doi.org/10.5090/kjtcs.2018.51.5.363
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