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Journals / Acta Medica Alanya / 2021 / Cilt: 5 Sayı: 3

Very Late and Subacute Right Ventricular Lead Perforation Presenting as Cardiac Tamponade

Kardiyak Tamponad ile Başvuran Çok Geç ve Subakut Sağ Ventriküler Lead Perforasyonu Olgu Sunumu

Kemal Göçer(KAHRAMANMARAŞ NECİP FAZIL ŞEHİR HASTANESİ)0000-0003-2673-1971
Halil Yıldırımdemir(KAHRAMANMARAŞ NECİP FAZIL ŞEHİR HASTANESİ)0000-0003-2116-5368
Pages
326–329
Publication Date
2021-12-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Collaboration with cardiovascular surgeons is recommended.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Ventricular lead perforation (VLP) is a rare and life-threatening complication of permanent pacemakers.
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Key Findings & Data:Generally, VLP emerges in acute and subacute periods after cardiac electronic devices are implanted.
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Conclusion & Impact:Collaboration with cardiovascular surgeons is recommended.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Pacemaker · Cardiac Tamponade · Cardiac perforation

Abstract

Ventricular lead perforation (VLP) is a rare and life-threatening complication of permanent pacemakers. Generally, VLP emerges in acute and subacute periods after cardiac electronic devices are implanted. Late VLP is unexpected and occurs less frequently. There is an uncertain approach to the treatment of VLPs. Collaboration with cardiovascular surgeons is recommended. Herein, we present two cases of cardiac perforations who were successfully managed. One of them was admitted with cardiac tamponade four years after dual-chamber pacemaker (DCP) implantation, and the right ventricular lead was successfully removed with an open surgical method. The other was admitted with cardiac tamponade two weeks after DCP implantation. Ventricular lead was extracted by a simple traction method without surgical support and successfully re-implanted in the correct location.

Özet

Ventriküler lead perforasyonu (VLP), kalıcı kalp pillerinin nadir görülen ve hayatı tehdit eden bir komplikasyonudur. Genellikle VLP, kardiyak elektronik cihazlar implante edildikten sonra akut ve subakut dönemlerde ortaya çıkar. Geç VLP alışılmadık bir durumdur ve daha az sıklıkla meydana gelir. VLP'lerin tedavisine yönelik belirsiz bir yaklaşım vardır. Kardiyovasküler cerrahlarla işbirliği önerilir. Burada başarıyla tedavi edilen iki kardiyak perforasyon vakasını sunuyoruz. Bunlardan biri çift odacıklı kalp pili (DCP) implantasyonundan dört yıl sonra kalp tamponadı ile başvurdu ve sağ ventrikül lead'i açık cerrahi yöntemle başarıyla çıkarıldı. Diğeri, DCP implantasyonundan iki hafta sonra kardiyak tamponad ile kabul edildi. Ventriküler lead, cerrahi destek olmaksızın basit bir traksiyon yöntemiyle çıkarıldı ve doğru yere başarıyla yeniden implante edildi.

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Cite This Article

Göçer, K., Yıldırımdemir, H. (2021). Very Late and Subacute Right Ventricular Lead Perforation Presenting as Cardiac Tamponade. Acta Medica Alanya, Cilt: 5 Sayı: 3, 326–329. https://doi.org/10.30565/medalanya.893608

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References (10)

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