Congenital complete heart block and acquired complete heart block are serious conduction abnormalities that may necessitate permanent pacemaker placement. Small patient size and anatomy preclude transvenous pacemaker insertion and risk subcutaneous generator pocket complications. This report describes a case of placement of a pediatric bipolar epicardial pacemaker through a right axillary incision with an intrapleural polytetrafluoroethylene membrane pocket to facilitate future generator exchange.
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| http://dx.doi.org/10.1016/j.athoracsur.2021.07.031 | DOI Listing |
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- Cardiac strangulation is a rare issue in children that can occur years after epicardial pacemaker implantation due to the pacemaker wires compressing the heart and its blood vessels.
- A case was reported where a patient experienced this condition 8 years post-implantation, with imaging revealing significant compression of the left anterior descending artery.
- The patient underwent successful pacemaker reimplantation after myocardial perfusion imaging confirmed ischemia caused by this compression, highlighting the effectiveness of MPI in asymptomatic cases.
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