在一名患有孤立性心室心肌致密化不全的患者中，植入式心律转复除颤器（ICD）导线导致右心室游离壁穿孔。
Perforation of the right ventricular free wall by an ICD lead in a patient with isolated noncompaction of the ventricular myocardium.
作者信息
Sakai Yoshitaka, Sato Yuichi, Matsuo Shinro, Imai Shinobu, Kunimasa Taeko, Matsumoto Naoya, Saito Satoshi
出版信息
Int J Cardiol. 2007 May 2;117(3):e104-6. doi: 10.1016/j.ijcard.2006.11.223. Epub 2007 Mar 12.
PMID:17350119
Abstract
A 74-year-old patient with isolated noncompaction of the ventricular myocardium (INVM) underwent implantable cardioverter defibrillator (ICD) implantation because of sustained ventricular tachycardia. The post operative course was complicated by perforation of the right ventricular free wall by the ICD lead. The type of the active fixation transvenous ICD lead and the type of background cardiac disease are thought to be major risk factors for perforation.
摘要
一名74岁的孤立性心室心肌致密化不全（INVM）患者因持续性室性心动过速接受了植入式心律转复除颤器（ICD）植入术。术后病程因ICD导线穿孔导致右心室游离壁穿孔而复杂化。主动固定经静脉ICD导线的类型和潜在的心脏病类型被认为是穿孔的主要危险因素。
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