Key result
Abdominal pacemaker implantation linked to intra-abdominal migration, colon perforation, and secondary CIED infection.
Why the study?
Abdominal or intra-abdominal pacemaker implantation is an alternative site in select patients, but complications such as device migration and colon perforation are not well documented.
Case Report (n=1)
Highlights a rare but severe complication of abdominal pacemaker implantation involving device migration and colon perforation.
Abdominal pacemaker migration with perforation urges caution in adults; leaves open optimal site selection for young or slim patients.
In common practice, pacemaker generators are implanted in a subcutaneous/submuscular pectoral or axillary pocket. However, an abdominal (or even intra-abdominal) implantation sometimes represents a valuable alternative site, particularly in young or slim patients, including children. We describe an impressive patient scenario, with intra-abdominal device migration complicated by colon perforation, in an adult patient with congenital complete heart block. The postoperative course was additionally complicated by secondary cardiovascular implantable electronic device (CIED) infection.
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Russi et al. (2018) conducted a case report in Congenital complete heart block (n=1). Abdominal pacemaker implantation was evaluated. Abdominal pacemaker implantation in an adult with congenital complete heart block resulted in intra-abdominal device migration complicated by colon perforation and secondary CIED infection.
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