A case of cardiac strangulation following epicardial pacemaker implantation.
Gen Thorac Cardiovasc Surg
; 68(12): 1499-1502, 2020 Dec.
Article
em En
| MEDLINE
| ID: mdl-32270437
ABSTRACT
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.
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Base de dados:
MEDLINE
Assunto principal:
Marca-Passo Artificial
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article