| Item type |
紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2025-06-19 |
| タイトル |
|
|
タイトル |
25kgの小児に対する皮下植え込み型除細動器留置後に 創部離開があり再植え込みを要した症例 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
A CASE OF REIMPLANTATION DUE TO WOUND DEHISCENCE AFTER SUBCUTANEOUS IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR PLACEMENT IN A 25-KG CHILD |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
S-ICD |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
Subcutaneous Implantable Cardioverter Defibrillator |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
江並, 龍之介
河合, 駿
山本, 嵩
正本, 雅斗
田口, 有香
中野, 裕介
渡辺, 重朗
細田, 順也
|
| 著者（英） |
|
|
|
姓名 |
Enami, Ryunosuke |
|
|
言語 |
en |
| 著者（英） |
|
|
|
姓名 |
Kawai, Shun |
|
|
言語 |
en |
| 著者（英） |
|
|
|
姓名 |
Yamamoto, Takashi |
|
|
言語 |
en |
| 著者（英） |
|
|
|
姓名 |
Masamoto, Masato |
|
|
言語 |
en |
| 著者（英） |
|
|
|
姓名 |
Taguchi, Yuka |
|
|
言語 |
en |
| 著者（英） |
|
|
|
姓名 |
Nakano, Yusuke |
|
|
言語 |
en |
| 著者（英） |
|
|
|
姓名 |
Watanabe, Shigeo |
|
|
言語 |
en |
| 著者（英） |
|
|
|
姓名 |
Hosoda, Junya |
|
|
言語 |
en |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Subcutaneous implantable cardioverter defibrillator (S-ICD) implantation offers the advantage of eliminating the risk of venous occlusion and allowing for relatively easier device replacement in cases of infection. Successful implantation in children weighing less than 25 kg has been widely reported. However, there are few reports of cases requiring reimplantation. A case requiring reimplantation due to wound dehiscence is presented.
The patient was a 9-year-old girl who had been diagnosed with non-obstructive hypertrophic cardiomyopathy (HCM) at the age of 8 years during a school screening examination and had been followed as an outpatient at our hospital. At age 9 years, she experienced ventricular fibrillation (VF) and was successfully resuscitated with an automated external defibrillator (AED) before being transported to our hospital for post-resuscitation care. After stabilization, an S-ICD was implanted since this was a Class I indication for HCM.
She was discharged 8 days after implantation, but, one month later, she noticed exudate from the incision line over the device. The S-ICD was promptly removed. During reimplantation, the same incision line was used, but a deeper pocket was created, and the device was placed more caudally, ensuring the edge of the device would not fall along the incision line. In this case, the incision line was placed slightly more posteriorly and laterally than usual, and considering her small physique, the device’s position ended up more anteriorly at the initial implantation. As a result, the edge of the device was positioned directly under the incision line, and tension caused wound dehiscence.
In pediatric S-ICD implantation, careful attention must be paid to the relationship between the device and the incision line, as well as to postoperative wound care, particularly in children with smaller body sizes. |
|
言語 |
ja |
| 書誌情報 |
ja : 横浜医学
en : Yokohama Medical Journal
巻 76,
号 2,
p. 53-56,
ページ数 4,
発行日 2025-05-15
|
| 出版者 |
|
|
出版者 |
横浜市立大学医学会 |
| ISSN |
|
|
収録物識別子 |
0372-7726 |
症例報告 横浜医学76巻２号（江並龍之介） (825 KB)
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