J Interv Card Electrophysiol (2017) 49:289–290 DOI 10.1007/s10840-017-0271-5 MULTIMEDIA REPORT 1 2 1 1 Ekrem Ücer & Philip Irrgang & Sabine Fredersdorf & Lars Maier Received: 3 March 2017 /Accepted: 5 July 2017 /Published online: 22 July 2017 Springer Science+Business Media, LLC 2017 . . . Keywords Leadless pacemaker Autopsy Postmortem postoperative day due to multiple organ failure. An autopsy Fixation was performed and the mechanism of death was declared as non-procedure and non-device related. During the autopsy, the leadless pacemaker was found A 64-year-old male patient with impaired wound to be placed correctly at the apicoseptal region of the healing and sternal dehiscence due to mediastinitis after right ventricle (Fig. 1). The device was firmly fixed to a coronary bypass surgery developed atrial fibrillation the myocardium with three of its four tines. To demon- with symptomatic pauses up to 15 s. Due to the elevat- strate the strength of the fixation, we placed a traction on ed risk of infection after implantation of a conventional the device using a suture placed through the hole at the pacemaker, we decided to use a leadless cardiac pace- back of the device (Movie). maker (Micra™, Medtronic Inc., Minneapolis, MN, USA) The
Journal of Interventional Cardiac Electrophysiology – Springer Journals
Published: Jul 22, 2017
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