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Surgical Extraction of Infected Pacemaker Leads After Cardiac Surgery

Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne, UK

For reprint information contact: Seyed Mahmoud Nouraei, FRCS(CTh) Tel: 44 191 284 3111 Fax: 44 191 223 1175 email: smnouraei{at}yahoo.co.uk Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK.

Surgical extraction of permanent pacemaker leads is performed when noninvasive extraction is felt to be unsafe or has been unsuccessfully attempted. Surgical extraction in patients with previous cardiac surgery presents a particular challenge as resternotomy is hazardous and the presence of surgical adhesions makes video-assisted approaches difficult. We report 2 cases of successful deployment of a surgical technique using femorofemoral cardiopulmonary bypass and right anterior thoracotomy for removal of pacemaker leads.