A case of cardiac strangulation following epicardial pacemaker implantation
| Autor: | Manabu Hisahara, Chihiro Miyagi, Tomoya Takigawa, Yoshie Ochiai, Shigehiko Tokunaga, Yusuke Ando, Hironori Baba |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Pacemaker Artificial medicine.medical_specialty Heart Ventricles medicine.medical_treatment Case Report 030204 cardiovascular system & hematology Pacemaker implantation 03 medical and health sciences 0302 clinical medicine Internal medicine Humans Medicine Heart Atria 030212 general & internal medicine Child Cardiac strangulation Cardiac catheterization Pediatric business.industry Cardiac Pacing Artificial Cardiac silhouette General Medicine medicine.disease Cardiac surgery Stenosis Heart Block Epicardial pacemaker medicine.anatomical_structure Ventricle Cardiothoracic surgery cardiovascular system Cardiology Right atrium Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | General Thoracic and Cardiovascular Surgery |
| ISSN: | 1863-6713 1863-6705 |
| DOI: | 10.1007/s11748-020-01337-y |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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