Anestesia geral balanceada em paciente com extrusão de marcapasso cardíaco

Pacemaker (PM) generator extrusion is a rare complication, and may be associated with local infections, skin fragility, and local trauma. Treatment may involve simple surgical repair of the device site or, in more severe cases, removal of the entire system, requiring anesthetic support. This article reports the anesthetic management of a 79-year-old patient with complete PM extrusion after a fall from a standing position, followed by PM site infection, requiring surgical removal of the device. The patient underwent balanced general anesthesia with intraoperative transesophageal echocardiography monitoring, which revealed significant findings that changed the case’s outcome.