A case of cardiac strangulation following epicardial pacemaker implantation

被引：5

作者：

Miyagi, Chihiro ^{[1
]}

Ochiai, Yoshie ^{[1
]}

Ando, Yusuke ^{[1
]}

Hisahara, Manabu ^{[1
]}

Baba, Hironori ^{[1
]}

Takigawa, Tomoya ^{[1
]}

Tokunaga, Shigehiko ^{[1
]}

机构：

[1] Kyushu Hosp, Japan Community Hlth Care Org JCHO, Dept Cardiovasc Surg, Yahatanishi Ku, 1-8-1 Kishinoura, Kitakyushu, Fukuoka 8068501, Japan

来源：

GENERAL THORACIC AND CARDIOVASCULAR SURGERY | 2020年 / 68卷 / 12期

关键词：

Cardiac strangulation; Epicardial pacemaker; Pediatric; RARE COMPLICATION; COMPRESSION; RECOGNITION;

D O I：

10.1007/s11748-020-01337-y

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：1499 / 1502

页数：4

共 8 条

[1] Cardiac strangulation from epicardial pacemaker: early recognition and prevention [J].