Giunio Lovel, Boric Teo, Bulat Cristijan, Dragicevic Dragan, Lozo Mislav
Department of Cardiology, University Hospital Centre Split, Split, Croatia.
Division of Vascular Surgery, Department of Surgery, University Hospital Centre Split, Split, Croatia.
Int J Angiol. 2016 Dec;25(5):e177-e179. doi: 10.1055/s-0036-1580700. Epub 2016 Apr 4.
A 69-year-old man was admitted after syncope followed with chest pain and signs of cardiac tamponade. He had undergone permanent dual-chamber pacemaker implantation 3 weeks earlier. Transthoracic echocardiography (TTE) confirmed a pericardial effusion, and urgent pericardial drainage was performed. Right ventricular perforation caused by active-fixation (screw-in) lead was verified by multislice computed tomography. The lead was extracted under fluoroscopy and bedside TTE monitoring in the operating room with cardiothoracic surgery backup. In the same act, the new ventricular passive-fixation lead was implanted.
一名69岁男性在晕厥后出现胸痛及心脏压塞体征，随后入院。他在3周前接受了永久性双腔起搏器植入术。经胸超声心动图（TTE）证实有心包积液，并进行了紧急心包引流。多层计算机断层扫描证实是主动固定（螺旋式）电极导致右心室穿孔。在手术室，在荧光透视及床边TTE监测下，在心胸外科支持下取出电极。同时，植入新的心室被动固定电极。
