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Relocation of an Infected Cardiac Pacemaker Generator Under Ultrasound-Guided Pectoralis Nerve Block: A Case Study

Şahin, Ayhan*; Baran, Onur MD

doi: 10.1213/XAA.0000000000000911
Case Reports

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.

Funding: None.

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

Copyright © 2018 International Anesthesia Research Society
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