A case of cardiac strangulation following epicardial pacemaker implantation
An 8-year-old boy had undergone permanent epicardial pacemaker implantation with a Y-shaped bipolar ventricular lead on day 6 after birth for treatment of congenital complete atrioventricular block. He was found to have pulmonary stenosis and mitral stenosis by follow-up echocardiography. Further st...
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| Veröffentlicht in: | General thoracic and cardiovascular surgery 2020-12, Vol.68 (12), p.1499-1502 |
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| creator | Miyagi, Chihiro Ochiai, Yoshie Ando, Yusuke Hisahara, Manabu Baba, Hironori Takigawa, Tomoya Tokunaga, Shigehiko |
| description | An 8-year-old boy had undergone permanent epicardial pacemaker implantation with a Y-shaped bipolar ventricular lead on day 6 after birth for treatment of congenital complete atrioventricular block. He was found to have pulmonary stenosis and mitral stenosis by follow-up echocardiography. Further studies including computed tomography and cardiac catheterization revealed that the pacemaker lead had completely encircled the cardiac silhouette and was in a state of “cardiac strangulation”. We removed the previous pacing leads and generator and implanted a new epicardial dual-chamber pacing system in the right atrium and right ventricle. Additionally, an expanded polytetrafluoroethylene sheet was placed between the new leads and the heart to prevent recurrence of cardiac strangulation. |
| doi_str_mv | 10.1007/s11748-020-01337-y |
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He was found to have pulmonary stenosis and mitral stenosis by follow-up echocardiography. Further studies including computed tomography and cardiac catheterization revealed that the pacemaker lead had completely encircled the cardiac silhouette and was in a state of “cardiac strangulation”. We removed the previous pacing leads and generator and implanted a new epicardial dual-chamber pacing system in the right atrium and right ventricle. 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| subjects | Age Cardiac arrhythmia Cardiac Pacing, Artificial Cardiac Surgery Cardiology Case Report Catheters Child Coronary vessels Heart Heart Atria Heart Block - therapy Heart Ventricles Humans Male Medical imaging Medicine Medicine & Public Health Pacemaker, Artificial - adverse effects Pacemakers Pericardium Pulmonary arteries Strangulation Surgical Oncology Thoracic Surgery Tomography Veins & arteries |
| title | A case of cardiac strangulation following epicardial pacemaker implantation |
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