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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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
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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.
AbstractList 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.
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.
Author Tokunaga, Shigehiko
Ando, Yusuke
Hisahara, Manabu
Miyagi, Chihiro
Baba, Hironori
Takigawa, Tomoya
Ochiai, Yoshie
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  givenname: Chihiro
  surname: Miyagi
  fullname: Miyagi, Chihiro
  organization: Department of Cardiovascular Surgery, Japan Community Health Care Organization (JCHO), Kyushu Hospital
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  givenname: Yoshie
  surname: Ochiai
  fullname: Ochiai, Yoshie
  email: yoshie558@yahoo.co.jp
  organization: Department of Cardiovascular Surgery, Japan Community Health Care Organization (JCHO), Kyushu Hospital
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  surname: Ando
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/32270437$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1093_ehjcr_ytac092
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crossref_primary_10_1002_sono_12283
crossref_primary_10_9794_jspccs_37_42
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Cites_doi 10.1016/j.jtcvs.2014.10.094
10.1017/S1047951111000242
10.1111/j.1540-8167.2007.00826.x
10.1093/eurheartj/ehn449
10.1016/0002-9149(88)90786-2
10.1136/hrt.77.3.288
10.1161/CIRCULATIONAHA.110.980243
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Issue 12
Keywords Epicardial pacemaker
Pediatric
Cardiac strangulation
Language English
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PublicationTitle General thoracic and cardiovascular surgery
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Snippet 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...
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...
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StartPage 1499
SubjectTerms 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
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Title A case of cardiac strangulation following epicardial pacemaker implantation
URI https://link.springer.com/article/10.1007/s11748-020-01337-y
https://www.ncbi.nlm.nih.gov/pubmed/32270437
https://www.proquest.com/docview/2918740660/abstract/
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https://pubmed.ncbi.nlm.nih.gov/PMC7680322
Volume 68
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