Unusual pacemaker migration

Unusual migration of implantable cardioverter defibrillator that clinically mimicking breast cancer: A case report

Pacemaker and implantable cardioverter defibrillator migration to the breast are an extremely rare complication. The rarity of this phenomenon and its potential to mimic breast cancer emphasize the importance of reporting such cases. This study presents a rare migration of the device to the breast tissue that clinically mimicked breast cancer. This case underscores the need for comprehensive diagnostic approaches and individualized management strategies when faced with such clinical challenges. A 59-year-old female patient complained bilateral breast masses for a 3-month duration. She is a known case of diabetes mellitus and hypertension. In 2015, she underwent Implantable cardioverter defibrillator implantation for dilated cardiomyopathy and left ventricular failure. On examination, there was a skin dimpling in the left upper quadrant of her breast. The skin dimpling was clinically suspected to be breast cancer. Mammography showed an implantable cardiac device in the upper central part extending into the glandular parenchyma. A consultation with a cardiologist confirmed that the ICD was functioning properly, and as a result, no medical interventions were deemed required. Implantable cardioverter defibrillator migration to the breast is an extremely rare phenomenon and represent a complex clinical challenge that require a comprehensive diagnostic approach and individualized management strategies.

Laparoscopic extraction of a migrated pacemaker in a 6-year-old child: A case report

The laparoscopic approach can provide a safe option with good results for extracting an uncomplicated migrated pacemaker in children.

Wandering permanent pacemaker generators in children: a case series

Introduction

Epicardial permanent pacemaker generators are implanted some times in the abdominal wall in pediatric age groups.

Case presentation

Three permanent epicardial pacemakers that migrated in an unusual manner producing intraabdominal complications are reported.

Conclusion

The different clinical presentations of pacemaker migration in the pediatric age groups are highlighted and a few suggestions are made for avoiding such a complication.

Migration of an Abandoned Pacemaker Generator into the Pouch of Douglas in a Child with Complex Congenital Heart Disease

A young girl with complex congenital heart disease underwent Fontan procedure and multiple pacemaker revisions, including abandonment of an intraabdominal pacemaker generator at age eight. She presented two years later with constipation and abdominal twitching. Radiographs, pacemaker interrogation, and laparoscopy confirmed dislocation of the abandoned generator and intraperitoneal migration into the pouch of Douglas. The device was removed surgically without incident.