scholarly journals Pacemaker Dysfunction due to a Large Thrombus on Ventricular Lead

2019 ◽  
Vol 22 (2) ◽  
pp. E131-E133
Author(s):  
Zhen Xia ◽  
Jianhua Yu ◽  
Juxiang Li ◽  
Qinmei Xiong ◽  
Yanhua Tang ◽  
...  

Background: Pacemaker lead–related thrombosis is a rare but severe complication in patients with pacing lead implantation in the right ventricle. We present a case with recurrent syncope after single-chamber implantable cardioverter defibrillator (ICD) implantation. Pacing lead–related thrombosis was observed during open-heart surgery. This induced intermittent pacemaker dysfunction and recurrent syncope. Case Presentation: A 67-year-old male patient presented with frequent episodes of syncope and a history of dilated cardiomyopathy and paroxysmal ventricular tachycardia. Normal coronary angiography was found, and therefore a single-chamber ICD was implanted into the right ventricle to prevent cardiac events in 2013. However, he was referred to our hospital because of recurrent syncope 3 to 4 years after ICD implantation. A comprehensive investigation was performed to find out the etiology for the recurrent syncope. Pacing lead thrombosis was finally observed during open-heart surgery, which can introduce intermittent pacemaker dysfunction. After the thrombus was removed and the lead was separated from the posterior leaflet of the tricuspid valve, the ICD functioned normally after reprogramming. Oral anticoagulant was prescribed after discharging. During the 1-year follow-up period, this patient was free of syncope. Conclusions: This case illustrated that pacemaker lead–associated thrombosis should be considered when the cardiac implantable electronic device fails to prevent patients from having cardiac events. Oral anticoagulant might be important for preventing thrombosis among patients with ICD implantation into the right ventricle.

2019 ◽  
Vol 23 (3) ◽  
pp. 103-113 ◽  
Author(s):  
A. Soltani ◽  
J. Lahti ◽  
K. Järvelä ◽  
J. Laurikka ◽  
V.-T. Kuokkala ◽  
...  

2018 ◽  
Vol 07 (01) ◽  
pp. e7-e8 ◽  
Author(s):  
Torulv Holst ◽  
Thorsten Großwendt ◽  
Majd Laham ◽  
Mehdy Roosta-Azad ◽  
Afsaneh Zandi ◽  
...  

AbstractEndovascular stent placement for chronic postthrombotic iliofemoral venous obstructive lesions is an effective therapeutic option and might be complicated by stent migration. We report a case of a venous stent that was lost from the iliac vein into the right ventricle rescued by emergent open-heart surgery.


2020 ◽  
Vol 41 (1) ◽  
pp. 35-39
Author(s):  
Deland Weyrauch ◽  
Walter L. Kemp ◽  
Mark Koponen

2012 ◽  
Vol 9 (1) ◽  
pp. 80-82
Author(s):  
S Pradhan ◽  
R Sapkota ◽  
U K Shrestha ◽  
R Amatya ◽  
B Koirala

Cardiac impalement injury is rare and one of the most severe penetrating chest injuries, often fatal. The management of penetrating cardiac injuries is a challenging one. The success in management of impaling cardiac trauma requires stabilization of the impaling object, expeditious transfer to a facility for open heart surgery, rapid imaging, access to blood and blood products and a ready surgical team. We report a case of impalement injury to the heart by a stick, transfixing the right ventricle and its successful treatment. http://dx.doi.org/10.3126/kumj.v9i1.6270 Kathmandu Univ Med J 2011;9(1):80-2


2012 ◽  
Vol 3 (3) ◽  
pp. 25-30
Author(s):  
V A Bubnov ◽  
D V Puzenko

The article analyses the possibility of using direct bioelectric impedancemetry of the right ven- tricle (RV) as an intra-operation method for evaluation of myocardial protection effectiveness in open-heart surgery. The results of intra-operation monitoring of bioelectric impedancemetry indi- cators of RV in 40 patients underwent surgical treatment with the use of cardioplegia were ana- lyzed. Bioelectrical impedance of myocardium has been studied during the whole period of artificial blood circulation. The analysis of the results showed that the bioelectric myocardium impedancemetry allows to assess the level of the interstitial space filling during the infusion of cardioplegia solution, providing an opportunity to assess the perfusion adequacy and also the level of reperfusion cells damage and myocardium swelling degree at the stage of coronary blood flow restoration. Using the method of myocardium bioelectric impedancemetry we found that blood cardioplegia with the "thermal induction" more reliably protects the myocardium in the period of anoxia in comparison with the cold cardioplegia.


2018 ◽  
Vol 28 (5) ◽  
pp. 753-755
Author(s):  
Katarzyna Gendera ◽  
Peter Ewert ◽  
Andreas Eicken

AbstractWe report on successful endovascular retrieval of an accidentally flared Melody valve in an adult patient with an indication for percutaneous pulmonary valve implantation. The Melody valve was removed through a 24 F sheath, introduced via the right jugular vein, and the urgent open-heart surgery was avoided.


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