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...

Full description

Saved in:
Bibliographic Details
Published inGeneral thoracic and cardiovascular surgery Vol. 68; no. 12; pp. 1499 - 1502
Main Authors Miyagi, Chihiro, Ochiai, Yoshie, Ando, Yusuke, Hisahara, Manabu, Baba, Hironori, Takigawa, Tomoya, Tokunaga, Shigehiko
Format Journal Article
LanguageEnglish
Published Singapore Springer Singapore 01.12.2020
Springer Nature B.V
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
United States > US
Japan
Epicardial pacemaker
Pediatric
Cardiac strangulation
Online AccessGet full text

Cover

More Information
Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-020-01337-y