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首页> 外文期刊>Heart rhythm: the official journal of the Heart Rhythm Society >Materialization of ghosts: Severe intracardiac masses after pacemaker lead extraction requiring immediate surgical intervention
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Materialization of ghosts: Severe intracardiac masses after pacemaker lead extraction requiring immediate surgical intervention

机译：幻影的实现：起搏器铅拔出后严重的心内包块需要立即进行手术干预

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摘要

Thirteen years after 2-chamber pacemaker implantation, a 50-year-old patient was referred for pacemaker lead extraction because of pocket infection. Lead extraction was performed with an 11-F Evolution Mechanical Dilator Sheath Set (Cook Medical, Inc, Bloomington, IN) in the operating theatre with cardio-pulmonary bypass standby. The intraoperative preinter-ventional transesophageal echocardiography revealed no vegetations on the pacemaker leads. However, after com-plete extraction, an inhomogeneous highly mobile structure of 3.7 cm was seen in the right atrium, also referred to as "ghost" (Figure 1). Sudden cardiac death and symptomatic pulmonary embolism were reported as potential sequels.Because of the high mobility of this big structure, the decision for acute surgical intervention on car-diopulmonary bypass was made.
机译：2腔起搏器植入后十三年，一名50岁患者因口袋感染而被要求摘除起搏器导线。铅提取是在具有心肺旁路待机功能的手术室中使用11-F Evolution机械扩张器护套套件（Cook Medical，Inc，Bloomington，IN）进行的。术中介入前经食道超声心动图检查发现心脏起搏器导线上没有植被。但是，在完全拔除后，在右心房中发现了不均匀的高度为3.7 cm的活动结构，也称为“鬼影”（图1）。据报道，心脏猝死和有症状的肺栓塞是潜在的后遗症。由于这种大结构的高活动性，决定对行体外循环进行急性外科手术。

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