一枚小体型直径的除颤器导线导致的迟发性心脏穿孔。
Delayed cardiac perforation by one small body diameter defibrillator lead.
作者信息
Haghjoo Majid, Alizadeh Abolfath, Fazelifar Amir Farjam, Hajahmadi Mozhgan, Sadr-Ameli Mohammad Ali
机构信息
Department of Pacemaker and Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Mellat Park, Tehran, Iran.
出版信息
J Electrocardiol. 2010 Jan-Feb;43(1):71-3. doi: 10.1016/j.jelectrocard.2009.04.005.
We report a 37-year-old man who presented with continuous chest pain 6 weeks after implantable cardioverter-defibrillator implantation. Implantable cardioverter-defibrillator interrogation indicated complete loss of capture even with maximum output. Chest radiography and echocardiography confirmed extracardiac location of lead tip. After lead repositioning in electrophysiology laboratory, acceptable pacing threshold was obtained with no complication. This report demonstrates a case of delayed cardiac perforation after implantation of the St Jude Medical Durata implantable cardioverter-defibrillator lead.
我们报告一名37岁男性，在植入植入式心脏复律除颤器6周后出现持续性胸痛。植入式心脏复律除颤器问询显示即使在最大输出时也完全丧失夺获。胸部X线和超声心动图证实导线尖端位于心外。在电生理实验室重新定位导线后，获得了可接受的起搏阈值且无并发症。本报告展示了一例圣犹达医疗Durata植入式心脏复律除颤器导线植入后延迟性心脏穿孔的病例。
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