Clinical case of non-standard explantation of infected pacer electrodes in a patient with a history of CABG
Abstract
Objective: to study electrode-associated infection and justify the explantation of pacemaker electrodes through mini-thoracotomy under X-ray control in a patient with a history of multiple surgical treatment of the pacemaker seating and CABG.
Material and methods: a clinical case of surgical intervention in the volume of explantation of infected electrodes through a right-sided mini-thoracotomy under X-ray control at the Research Institute of Cardiovascular Surgery and Cardiovascular Surgery in Kemerovo
Result: The surgical intervention performed at the Research Institute of Cardiovascular Surgery in Kemerovo, within the scope of electrode explantation through a right-sided mini-thoracotomy under X-ray control, allowed for the complete elimination of the source of infection that was not amenable to drug therapy. Surgical access reduced the risk of intra- and postoperative complications and shortened the patient's rehabilitation period.
Conclusion. Thus, the choice of surgical intervention tactics is individual for each patient. In this clinical case, minimally invasive access within the scope of minithoracotomy allowed not only to successfully perform the operation, but also reduced possible complications.
About the Authors
Sh. M. Mutaev
FSBI «National Medical Research Center named after A.V. Vishnevsky» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Shamil M. Mutaev - resident in the specialty of cardiovascular surgery
27, Bolshaya Serpukhovskaya St., 27, Moscow, 117997
K. A. Kozyrin
FSBI «National Medical Research Center named after A.V. Vishnevsky» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Kirill A. Kozyrin - MD, PhD, cardiovascular surgeon, Head of Cardiac Surgery Unit №2
27, Bolshaya Serpukhovskaya St., 27, Moscow, 117997
N. S. Bohan
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Nikita S. Bohan - MD, cardiovascular surgeon, Сardiac rhythm disorders and pacing laboratory
6, Academician L.S. Barbarash Boulevard, Kemerovo, 650002
A. B. Nishonov
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Asliddin B. Nishonov - MD, PhD, cardiovascular surgeon, Department of Cardiac Surgery No. 1
6, Academician L.S. Barbarash Boulevard, Kemerovo, 650002
V. A. Popov
FSBI «National Medical Research Center named after A.V. Vishnevsky» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Vadim A. Popov - PhD, professor, cardiovascular surgeon, Head of Cardiac Surgery department
27, Bolshaya Serpukhovskaya St., 27, Moscow, 117997
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Review
For citations:
Mutaev Sh.M., Kozyrin K.A., Bohan N.S., Nishonov A.B., Popov V.A. Clinical case of non-standard explantation of infected pacer electrodes in a patient with a history of CABG. Minimally Invasive Cardiovascular Surgery. 2025;1(1):77-83. (In Russ.)
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