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Cardiac strangulation from epicardial pacemaker: early recognition and prevention

Published online by Cambridge University Press:  17 March 2011

Abdullah AlHuzaimi ,
Nathalie Roy  and
Walter J. Duncan
Abdullah AlHuzaimi
Affiliation:
Division of Cardiology, Department of Pediatrics, Children's Heart Centre, Vancouver, British Columbia, Canada
Nathalie Roy*
Affiliation:
Division of Cardiovascular and Thoracic Surgery, Department of Surgery, British Columbia Children's Hospital, Vancouver, British Columbia, Canada
Walter J. Duncan
Affiliation:
Division of Cardiology, Department of Pediatrics, Children's Heart Centre, Vancouver, British Columbia, Canada
*
Correspondence to: N. Roy, MD, FRCSC, Division of Cardiovascular and Thoracic Surgery, Department of Surgery, British Columbia Children's Hospital, 4480 Oak Street, Vancouver, British Columbia V6 H 3V4, Canada. Tel: +1 604 875 3165; Fax: +1 604 875 3159; E-mail: nathalieroymd@gmail.com
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Abstract

Cardiac strangulation from epicardial pacemaker leads is a rare event that can be difficult to recognise and can cause serious complications such as cardiac failure or death. We describe a 3-year-old girl who received an epicardial pacing system as a neonate for complete congenital cardiac block and developed cardiac strangulation from the leads. The clinical presentation modes are reviewed and technical aspects for lead and generator positioning are discussed.

Keywords

Epicardial pacemakerpacemaker complicationspaediatric
Type
Brief Reports
Information
Cardiology in the Young , Volume 21 , Issue 4 , 12 July 2011 , pp. 471 - 473
Copyright
Copyright © Cambridge University Press 2011

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Footnotes

*

These authors have contributed equally to the paper.

References

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