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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2026, Number 2

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Cir Card Mex 2026; 11 (2)

Comprehensive approach of patients with cardiac perforation and management of difficult airway: case report

Jiménez-González RJ, Ogaz-Escarpita MC, Castañón-Colunga EA, Carrera-Baca M, Aguilar-Romero JD, Marmolejo-Rivera R, García-Villarreal OA

Language: English
References: 16
Page: 59-63
PDF size: 1528.25 Kb.


ABSTRACT

Myocardial perforation related to cardiac pacemakers is a rare but potentially fatal complication. Risk factors such as active fixation electrodes, steroid use, advanced age, female sex, comorbidities, and apical electrode placement confer a higher risk. We report the case of an 83-year-old woman who experienced cardiac perforation two years after pacemaker implantation, caused by electrode migration. Her advanced age and non-septal electrode placement were identified as risk factors. The patient underwent successful surgical repair via anterior thoracotomy, with hybrid intubation employed due to a predicted difficult airway. She exhibited favorable clinical progress and was discharged after a one-week hospital stay. The hybrid intubation technique, although more commonly used in pediatrics, proved useful in this adult patient with predictors of a difficult airway.


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