Reports on pacemaker placement/relocation surgery under pectoralis nerve block are limited. We herein report a case involving a 74-year-old woman with an infected cardiac pacemaker generator who underwent pacemaker relocation surgery under an ultrasound-guided pectoralis nerve block. On preoperative evaluation, she had congestive heart failure, type 2 diabetes mellitus, and a pacer-dependent heart rhythm. She was considered to be at high risk for general anesthesia. Thus, an ultrasound-guided pectoralis nerve block was planned. The surgery was completed successfully, without notable complications. Our findings might help in the management of patients who require pacemaker implantation/relocation.
From the *Department of Anesthesiology and Reanimation, Namik Kemal University, Tekirdağ, Turkey
†Department of Anesthesiology and Reanimation, Palandöken State Hospital, Erzurum, Turkey.
Accepted for publication September 4, 2018.
The authors declare no conflicts of interest.
Address correspondence to Onur Baran, MD, Department of Anesthesiology and Reanimation, Palandöken Devlet Hastanesi, Anesteziyoloji ve Reanimasyon, Yenişehir, Erzurum, Türkiye 25070. Address e-mail to email@example.com.