Ross Rudolph, MD, Michael R. Smith, MD, Guy P. Curtis, MD, PhD

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Presentation transcript:

Salvage of Pacemakers and Automatic Implantable Cardioverter-Defibrillators Using Dermis Grafts Ross Rudolph, MD, Michael R. Smith, MD, Guy P. Curtis, MD, PhD The Annals of Thoracic Surgery Volume 91, Issue 2, Pages 452-456 (February 2011) DOI: 10.1016/j.athoracsur.2010.10.004 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Impending erosion and exposure of pacemaker through nonviable skin (arrow) in a patient with a chronic hematoma dating from device implantation. (B) After AlloDerm graft, healed incision and soft implant edges visually, with extrusion prevented, at 3.5 months. The Annals of Thoracic Surgery 2011 91, 452-456DOI: (10.1016/j.athoracsur.2010.10.004) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Impending erosion and exposure of an automatic implantable cardioverter-defibrillator through very thin nonmobile skin (arrow). (B) After AlloDerm graft, healed incision and soft implant edges visually, with extrusion prevented at 3 months. The Annals of Thoracic Surgery 2011 91, 452-456DOI: (10.1016/j.athoracsur.2010.10.004) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Elastic Van Gieson stain of biopsy of retained and incorporated AlloDerm graft in first patient at 23 months. Increased number of normal size elastic fibers at periphery with increased collagen in center. Fat cells at bottom indicate the interface of graft and native tissue (original magnification: ×100). (B) Hematoxylin and eosin stain of graft, showing viable host cells (original magnification: ×400). The Annals of Thoracic Surgery 2011 91, 452-456DOI: (10.1016/j.athoracsur.2010.10.004) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions