A Case of Pacemaker (PM) Contact
Sensitivity due to Silicon Allergy Which Occurred 24 Years after
PM Implantation |
(The Department of Cardiovascular Surgery, Anjo
Kosei Hospital, Anjo, Japan)
Hitoshi Suzuki |
Shinji Kanemitsu |
Toshiya Tokui |
Yoshirou Kanamori |
Yoshihiko Kinoshita |
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A 44-year-old man underwent implantation
of a DDD pacemaker for third degree heart block at age 20. The
cutaneous pocket for the pulse generator was situated in the
left pectoral region. He visited our hospital because of skin
ulcer over the pacemaker without any other complaint such as
fever or pain. The patient received a new DDD pacemaker system
in the right pectoral region and old pacing leads were translocated
under the pectoral muscle. However, right pectoral skin ulcer
appeared 1 month later. Patch tests revealed a positive reaction
to silicon. Wrapping of the pacemaker with a polytetrafluoroethylene
(PTFE) sheet proved to be effective.
@Jpn. J. Cardiovasc. Surg. 34: 124-126 (2005) |
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