Patients with congenital heart disease and univentricular circulation are vulnerable to ventricular dysfunction. In the context of atrioventricular conduction defects, a ventricular pacemaker may be placed, possibly introducing dyssynchronous wall motion and deterioration of ventricular pump function. We describe such a case in which repositioning of the ventricular lead restored synchronicity.
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http://dx.doi.org/10.1007/s00246-012-0523-1 | DOI Listing |
Am J Case Rep
December 2024
School and Graduate Institute of Nursing, China Medical University, Taichung City, Taiwan.
BACKGROUND Pacemaker implantation serves as a prevalent therapeutic approach for bradycardia or atrioventricular blocks associated with syncope. While generally regarded as safe, this procedure is not devoid of rare yet severe complications. Examples include lead-induced cardiac perforation resulting in pneumothorax or pericardial effusion, which pose life-threatening risks.
View Article and Find Full Text PDFDiagnostics (Basel)
November 2024
Gloucestershire Hospitals Foundation Trust, Cheltenham General Hospital, Sandford Road, Cheltenham GL53 7AN, UK.
Permanent pacemaker implantation is a low-risk procedure. However, complications may occur at a rate of around 4-8%. We present a case where initial implantation resulted in complications that could have been avoided by meticulous assessment of lead position in different projections and early post-procedure X-ray that would have delineated other serious complications.
View Article and Find Full Text PDFCureus
October 2024
Department of Anesthesiology, University Children's Hospital, Belgrade, SRB.
Orbital complications are rare manifestations of congenital hydrocephalus. We present a case of a child presenting with unilateral exophthalmos and palpebral edema as a result of a chronic increased intracranial pressure and severe enlargement of the ventricular system. The initial presentation in our 13-year-old male patient was progressive right eyelid swelling.
View Article and Find Full Text PDFJ Cardiol Cases
November 2024
Department of Cardiology, Dokkyo Medical University Saitama Medical Center, Saitama, Japan.
Unlabelled: The intermuscular technique for subcutaneous implantable cardioverter-defibrillator (S-ICD) implantations is a technique for implanting the device between the anterior serratus muscle and latissimus dorsi (LD) muscle. A 70-year-old hypertrophic cardiomyopathy patient underwent a surgical repositioning of an S-ICD due to a moved device with skin thinning from mechanical stress. The patient had an S-ICD implantation 4 years prior to the reimplantation and the intermuscular technique was not expected to be achieved.
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