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Eur J Cardiothorac Surg 2006;29:117-118
© 2006 Elsevier Science NL

Case report

Successful reimplantation of a phrenic nerve stimulator after traumatic exteriorisation

^a Department of Thoracic Surgery; Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France
^b Department of Anaesthesiology; Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France
^c Private practice, Bruay La Bussiere, France
^d Department of Respiratory and Intensive Care Medicine, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, 47-83 Bd de l’Hôpital, 75651 Paris Cedex 13, France

Received 10 August 2005; received in revised form 15 October 2005; accepted 17 October 2005.

^_* Corresponding author. Tel.: +33 1 42176797; fax: +33 1 42176708. (Email: francoise.LE-PIMPEC-BARTHES{at}hop.egp.ap-hop-paris.fr; thomas.similowski{at}psl.ap-hop-paris.fr).

A quadriplegic patient experienced post-traumatic exteriorisation of the subcutaneous receiver of a phrenic pacemaker. In the absence of infection and stimulation dysfunction in the patient, the device was reimplanted with full success at 1 year. This strategy can, exceptionally, be considered if removal and subsequent implantation is impossible or refused.

Key Words: Diaphragm pacing • Reimplantation • Infection • Quadriplegia • Ventilator-dependency