scholarly journals A case of cardiac strangulation following epicardial pacemaker implantation

2020 ◽  
Vol 68 (12) ◽  
pp. 1499-1502
Author(s):  
Chihiro Miyagi ◽  
Yoshie Ochiai ◽  
Yusuke Ando ◽  
Manabu Hisahara ◽  
Hironori Baba ◽  
...  

AbstractAn 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.




2016 ◽  
Vol 26 (5) ◽  
pp. 1029-1032
Author(s):  
Tao Fujioka ◽  
Masaki Nii ◽  
Yasuhiko Tanaka

AbstractCongenital complete atrioventricular block is a known lethal condition. Although antenatal diagnosis and the technical advances of pacemaker treatment have reduced its mortality, treatment of premature babies with significant myocardial damage remains a challenge. In this paper, we report the case of a premature low-birth-weight infant with congenital complete atrioventricular block and extremely low ventricular rate, fetal hydrops, and myocarditis who was successfully treated with staged permanent pacemaker implantation.









2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
Mariana Paiva ◽  
Vania Ribeiro ◽  
Raquel Garcia ◽  
Sandra Amorim ◽  
Manuel Campelo ◽  
...  

We present a case of a patient with known complete congenital atrioventricular block (CAVB) since the age of 7 years old that developed dilated cardiomyopathy ten years after VVI-R pacemaker implantation. He presented severe biventricular dysfunction and was symptomatic despite optimal medical therapy. Cardiac resynchronization therapy was used, and he showed clinical and electrocardiographic improvement a month later.



2017 ◽  
Vol 45 (5) ◽  
pp. 1597-1601 ◽  
Author(s):  
Zhenyu Jiao ◽  
Ying Tian ◽  
Xinchun Yang ◽  
Xingpeng Liu

A 59-year-old male patient was admitted with the main complaints of stuffiness and shortness of breath. An ECG from precordial leads on admission showed masquerading bundle branch block. Syncope frequently occurred after admission. During syncope episodes, ECG telemetry showed that the syncope was caused by intermittent complete atrioventricular block, with the longest RR interval lasting for 4.36 s. At the gap of syncope, ECG showed complete right bundle branch block accompanied by alternation of left anterior fascicular block and left posterior fascicular block. The patient was implanted with a dual-chamber permanent pacemaker. Follow-up of 9 months showed no reoccurrence of syncope.



2007 ◽  
Vol 30 (11) ◽  
pp. 1339-1343 ◽  
Author(s):  
GERTIE C.M. BEAUFORT-KROL ◽  
MIEK J.M. SCHASFOORT-VAN LEEUWEN ◽  
YMKJE STIENSTRA ◽  
MARGREET Th.E. BINK-BOELKENS


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