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CARDIAC SURGERY _____________________________________________________

Erosion of a Dual-Chamber Pacemaker System Alexander Kypta, M.D., Hermann Blessberger, M.D., Juergen Kammler, M.D., Thomas Lambert, M.D., and Clemens Steinwender, M.D. Department of Internal Medicine I - Cardiology, Johannes Kepler University School of Medicine, Linz General Hospital, Linz, Austria doi: 10.1111/jocs.12495 (J Card Surg 2015;30:217) A 58-year-old male presented with recurrent syncope and was found to have a dual chamber pacemaker generator that had protruded through the skin dangling by two leads (Fig. 1). The pacing system was inserted in 2006 due to complete heart block following an aortic

valve replacement. The leads were extracted and a temporary transvenous lead was placed. After 10 days of antibiotic therapy, a new dual chamber pacemaker system was implanted on the contralateral side without any complications.

Figure 1. Patient with completely protruded dual chamber pacemaker.

Conflict of interest: The authors acknowledge no conflict of interest in the submission. Sources of funding: none. Address for correspondence: Dr. Alexander Kypta, M.D., Department of Internal Medicine I - Cardiology, Linz General Hospital, Johannes Kepler University School of Medicine, Krankenhausstrasse 9, 4020 Linz, Austria. Fax: þ43 732 7806 6205; e-mail: [email protected], [email protected]

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Erosion of a dual-chamber pacemaker system.

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