RESUMEN
We report a patient in whom vesicular lesions of the skin developed overlying the pacemaker at intervals of 3 to 8 months after each of three consecutive insertions. Patch skin tests were positive for titanium and polyurethane sensitization. Although pacemaker contact sensitivity is rare, its recognition is of vital importance to the pacemaker-dependent patient.
Asunto(s)
Arritmia Sinusal/terapia , Dermatitis Alérgica por Contacto/diagnóstico , Dermatitis Alérgica por Contacto/etiología , Marcapaso Artificial/efectos adversos , Poliuretanos/efectos adversos , Siliconas/efectos adversos , Síncope/etiología , Titanio/efectos adversos , Nervio Vago , Arritmia Sinusal/complicaciones , Niño , Diagnóstico Diferencial , Femenino , Humanos , Recurrencia , Pruebas CutáneasRESUMEN
We report a successful two-stage repair of tetralogy of Fallot associated with pentalogy of Cantrell. The first stage, performed in the neonatal period, consisted of repairing the omphalocele, separating the peritoneal from the pericardial cavities, and covering the heart. The second stage, performed at 6 years of age, consisted of complete intracardiac repair and placing the heart in the chest. The patient is alive and well 18 months after the operation.