Management of an Exposed Cardiac Pacemaker Through the Surgical Rotational Flap.
Alessandro Sarai1, Eleonora De Antoni2, Bruna Bolzan1
1Electrophysiology and Cardiac Pacing, Division of Cardiology, University Hospital of Verona, Verona, Italy.
Pacing and Clinical Electrophysiology : PACE
|April 29, 2025
Summary
Pacemaker pocket erosion is a serious complication in elderly patients. This case shows successful management using antibiotics, generator replacement, and flap surgery.
Area of Science:
- Cardiology
- Medical Devices
- Surgical Complications
Background:
- Pacemaker pocket erosion is a known complication of cardiac implantable electronic devices.
- Elderly patients with reduced subcutaneous tissue are at higher risk.
- Device exposure poses significant risks, including infection.


