AI Article Synopsis
- 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.
Article Abstract
Cardiac strangulation is a rare phenomenon in children following epicardial pacemaker implantation, caused by compression of the heart and great vessels by the epicardial pacemaker wires. We report a rare case of cardiac strangulation presenting after 8 years of epicardial pacemaker implantation. On routine follow-up, computed tomography angiography showed significant extrinsic compression of the mid-left anterior descending (LAD) artery by the epicardial pacing wire. She was referred to our department for myocardial perfusion imaging (MPI), which showed significant inducible ischemia in the LAD territory. Following this, she underwent a successful pacemaker reimplantation. MPI can, thus, act as a good tool to assess the functional significance of the compression caused by strangulation of the heart by pacemaker leads in asymptomatic patients.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651413 | PMC |
| http://dx.doi.org/10.4103/apc.apc_125_24 | DOI Listing |
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