Leadless pacemaker in heart transplantation: a case report and literature review.

BMJ Case Rep

Heart, Vascular & Thoracic Institute, Cleveland Clinic Florida, Weston, Florida, USA.

Published: September 2023

AI Article Synopsis

  • A heart transplant recipient in his 60s experienced syncopal episodes due to a complete atrioventricular block seven months post-surgery.
  • To address this, doctors implanted a leadless pacemaker, navigating the challenges of his immunocompromised condition and past cardiac device issues.
  • Five years after the pacemaker was successfully implanted, the patient has remained free of syncopal episodes and device-related complications.

Article Abstract

Our case demonstrates the safe and effective use of a leadless pacemaker in a heart transplant recipient. A man in his 60s with a history of heart transplantation with biatrial anastomosis 7 months prior presented to the emergency department after several syncopal episodes. Telemetry monitoring revealed a paroxysmal complete atrioventricular block. Given his immunocompromised state and prior dual chamber pacemaker extraction at the time of heart transplantation, the patient underwent successful implantation of a leadless pacemaker. Over the past 5 years since device implantation, the patient has not had any syncopal events nor has he had any device-related complications, such as infection.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10496664PMC
http://dx.doi.org/10.1136/bcr-2023-256054DOI Listing

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