Managing Surgical Site Scarring as a Complication of Permanent Pacemaker Implantation

Pathologic collagen deposition in the form of keloid or hypertrophic scarring can result from any procedure that involves skin barrier disturbance. In this case report, we present a case of a patient who developed hypertrophic scarring complicated by the uncommon symptom of dysesthesia after pacemaker implantation and was successfully treated with intralesional corticosteroids. Although intralesional steroid injection is a well-known treatment option for hypertrophic scarring, both the rarity of hypertrophic scarring after pacemaker implantation and the seriousness of the complications that can result from pocket seeding and infection after injection at a pacemaker site are noteworthy. This case thus serves as a precautionary guideline for providers who will encounter similar cases.