[A case of bloody sputum due to the migration of a temporary cardiac pacing lead into the bronchus].

K Ono, H Kaguraoka, T Itaoka, M Yokoyama, S Nitta
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Abstract

A 60-year-old man with bloody sputum was admitted to our institute. Prior to the present admission, he had undergone coronary artery bypass graft surgery (GABG) at our institute 20 month earlier. The fiber optic bronchoscopy findings showed the cause of bleeding to be due to the migration of a post surgical temporary myocardial pacing lead which had been cut off at skin level after a CABG. Under general anesthesia we thus removed this migrated lead using both a fiber optic bronchoscope and forceps. The wire lead was easily removed and the patient has since suffered no more instances of bloody sputum.

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[临时心脏起搏导联移入支气管致痰血1例]。
我院收治一名60岁男性,痰带血。本例患者于20个月前在我院行冠状动脉搭桥手术(GABG)。纤维支气管镜检查结果显示出血的原因是由于手术后临时心肌起搏导线的迁移,该导线在CABG术后皮肤水平被切断。因此,在全身麻醉下,我们使用纤维支气管镜和镊子切除了迁移的铅。引线很容易被取出,从此病人再也没有出现血痰。
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