Fístula con reacción granulomatosa a cuerpo extraño secundaria a electrodos residuales de marcapasos cardiaco retirado

Delayed granulomatous reaction and cutaneous fistula induced by retained electrodes from a cardiac pacemaker in a child

“…As a result, there is not a clear consensus and this decision often requires an individual assessment. Regardless of the choice, an operating room is required as with any surgical procedure, and complications may occur that could be life threatening …”

“…As a result, in some cases, the generator is removed while the leads are left in place . Professionals need to be made more aware of this remaining material to avoid undesirable complications . This prosthetic material, if inadequately handled, can lead to the laceration of the myocardium, ventricular arrhythmias, or hemopericardium .…”

“…Professionals need to be made more aware of this remaining material to avoid undesirable complications . This prosthetic material, if inadequately handled, can lead to the laceration of the myocardium, ventricular arrhythmias, or hemopericardium . Therefore, close cooperation with the cardiac surgeons is required …”

“…Tissue debridement and a simple resection of the ends of the leads resolved the episode . Most of the reported cases involved elderly patients as they are more frequent users of cardiac pacemakers . However, Hachiro described a mediastinal infection in a 21‐month‐old boy due to a retained epicardial lead that required surgical extraction of the entire pacemaker system using extracorporeal circulation .…”

“…Components of redundant pacemakers left in situ are associated with multiple complications. Cutaneous events include wire‐related erosions, fistulas, local infections, and foreign body granulomas, among others …”