Key result
Catheter intervention successfully removes a migrated TEPW from the right heart 10 months post-CABG.
Why the study?
Migrations of retained temporary epicardial pacing wires are rare and critical complications of cardiac surgery.
Case Report (n=1)
Retained temporary epicardial pacing wires can migrate into the right heart months after cardiac surgery and can be safely removed via catheter intervention.
Retained epicardial wires may migrate late after CABG; this case leaves open optimal surveillance and retrieval strategies.
Migrations of retained temporary epicardial pacing wires (TEPWs) are rare and critical complications of cardiac surgery. A 73-year-old man who had received coronary artery bypass graft (CABG) with retained TEPW 10 months previously visited the outpatient clinic. In routine echocardiography, we observed an artificial structure in the right heart. We performed computed tomography (CT), identified TEPW in the right heart, confirmed the TEPW migration process by comparing it with previous CTs, and removed it via catheter intervention. We report this rare case because we identified TEPW in the heart, determined its migration process, and removed it without complications.
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Park et al. (2020) conducted a case report in Retained temporary epicardial pacing wire migration (n=1). Catheter intervention for TEPW removal was evaluated on Successful removal of migrated TEPW without complications. A migrated temporary epicardial pacing wire in the right heart was successfully identified via CT and removed via catheter intervention without complications 10 months post-CABG.
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