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使用插入左心室心尖的无缝合“螺旋式”心外膜起搏电极导致的致命后果。

Fatal outcome arising from use of a sutureless "corkscrew" epicardial pacing electrode inserted into apex of left ventricle.

作者信息

Vecht R J, Fontaine C J, Bradfield J W

出版信息

Br Heart J. 1976 Dec;38(12):1359-62. doi: 10.1136/hrt.38.12.1359.

DOI:10.1136/hrt.38.12.1359
PMID:1008980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC483181/
Abstract

A 59-year-old man is described in whom the insertion of an epicardial sutureless "corkscrew" electrode resulted in fatal ventricular perforation. Fatal myocardial perforation can occur with this electrode and the apex of the left ventricle should never be used as the site of insertion. Necropsy also showed that the transvenous right ventricular electrode, inserted one year previously, had penetrated a tricuspid leaflet. This could have accounted for the ensuing pacing failure.

摘要

一名59岁男性患者,其心外膜无缝合“螺旋”电极植入导致致命性心室穿孔。该电极可能会导致致命性心肌穿孔,左心室心尖绝不能作为植入部位。尸检还显示,一年前植入的经静脉右心室电极穿透了一个三尖瓣小叶。这可能是随后起搏失败的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3cf/483181/7729b1b78863/brheartj00250-0138-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3cf/483181/b18d24f5a0a0/brheartj00250-0137-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3cf/483181/a195459d6385/brheartj00250-0138-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3cf/483181/7729b1b78863/brheartj00250-0138-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3cf/483181/b18d24f5a0a0/brheartj00250-0137-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3cf/483181/a195459d6385/brheartj00250-0138-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3cf/483181/7729b1b78863/brheartj00250-0138-b.jpg

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Fatal outcome arising from use of a sutureless "corkscrew" epicardial pacing electrode inserted into apex of left ventricle.使用插入左心室心尖的无缝合“螺旋式”心外膜起搏电极导致的致命后果。
Br Heart J. 1976 Dec;38(12):1359-62. doi: 10.1136/hrt.38.12.1359.
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引用本文的文献

1
Cardiovascular computed tomography (cine CT) of abnormal left ventricular wall motion due to epicardial pacing electrodes.因心外膜起搏电极导致左心室壁运动异常的心血管计算机断层扫描(电影CT)
Cardiovasc Intervent Radiol. 1987;10(1):5-7. doi: 10.1007/BF02583297.
2
Left ventricular apical thin point.左心室心尖薄点。
Br Heart J. 1977 Jul;39(7):806-9. doi: 10.1136/hrt.39.7.806.