Cardiac strangulation: An atypical complication from epicardial pacemaker leads in a newborn

We report a rare and serious complication of cardiac strangulation arising from the implantation of epicardial pacing leads in a newborn. Patient's follow-up 9-month postsurgery revealed compression under the pulmonary valve annulus by a pacemaker lead, causing progressive stenosis of the right...

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Bibliographic Details
Published inAnnals of pediatric cardiology Vol. 11; no. 2; pp. 191 - 193
Main Authors Tahhan, Nabil, Ba, Papa, Hadeed, Khaled, Dulac, Yves, Cuttone, Fabio, Leobon, Bertrand
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.05.2018
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects
Abdomen
Cardiac strangulation
Cardiology
Case Report
Cesarean section
Complications and side effects
Diagnosis
Electrocardiography
epicardial leads
Guardians
Health aspects
Heart block
Heart surgery
Hospitals
newborn
Newborn infants
pacemaker
Patients
Pediatrics
Pulmonary arteries
Strangulation
Surgery
United States > US
Minnesota
Cardiac strangulation
pacemaker
epicardial leads
newborn
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Summary:We report a rare and serious complication of cardiac strangulation arising from the implantation of epicardial pacing leads in a newborn. Patient's follow-up 9-month postsurgery revealed compression under the pulmonary valve annulus by a pacemaker lead, causing progressive stenosis of the right ventricular outflow tract. The epicardial leads were replaced to relieve compression, and stenosis of the right ventricular outflow tract was rectified. Pacemaker implantation in newborns is not without challenges; epicardial leads should be carefully positioned to avoid any compression of cardiac structures.
ISSN:0974-2069
0974-5149
DOI:10.4103/apc.APC_175_17