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心脏绞窄：新生儿心外膜起搏器导线引发的一种非典型并发症。

Cardiac strangulation: An atypical complication from epicardial pacemaker leads in a newborn.

作者信息

Tahhan Nabil, Ba Papa Salmane, Hadeed Khaled, Dulac Yves, Cuttone Fabio, Leobon Bertrand

机构信息

Department of Pediatric Cardiology, University Hospital, Toulouse, France.

Department of Pediatric Cardiac Surgery, University Hospital, Toulouse, France.

出版信息

Ann Pediatr Cardiol. 2018 May-Aug;11(2):191-193. doi: 10.4103/apc.APC_175_17.

DOI:10.4103/apc.APC_175_17
PMID:29922017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5963234/
Abstract

We report a rare and serious complication of cardiac strangulation arising from the implantation of epicardial pacing leads in a newborn. Patient's follow-up 9-month postsurgery revealed compression under the pulmonary valve annulus by a pacemaker lead, causing progressive stenosis of the right ventricular outflow tract. The epicardial leads were replaced to relieve compression, and stenosis of the right ventricular outflow tract was rectified. Pacemaker implantation in newborns is not without challenges; epicardial leads should be carefully positioned to avoid any compression of cardiac structures.

摘要

我们报告了一例新生儿因植入心外膜起搏导线而引发的罕见且严重的心脏绞窄并发症。患者术后9个月的随访显示，起搏器导线压迫肺动脉瓣环下方，导致右心室流出道进行性狭窄。更换心外膜导线以减轻压迫，并纠正了右心室流出道狭窄。新生儿植入起搏器并非没有挑战；心外膜导线的放置应谨慎，以避免对心脏结构造成任何压迫。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d441/5963234/1b28c683786a/APC-11-191-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d441/5963234/11f9c221b32c/APC-11-191-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d441/5963234/ca0fc1c5c5e9/APC-11-191-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d441/5963234/52fb606dc507/APC-11-191-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d441/5963234/1b28c683786a/APC-11-191-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d441/5963234/11f9c221b32c/APC-11-191-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d441/5963234/ca0fc1c5c5e9/APC-11-191-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d441/5963234/52fb606dc507/APC-11-191-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d441/5963234/1b28c683786a/APC-11-191-g004.jpg

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Eur Heart J Case Rep. 2025 Jan 13;9(1):ytae688. doi: 10.1093/ehjcr/ytae688. eCollection 2025 Jan.

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Cardiac strangulation following epicardial pacemaker implantation: a rare pediatric complication.心外膜起搏器植入后心脏绞窄：一种罕见的儿科并发症。
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Cardiac strangulation from epicardial pacemaker leads: diagnosis, treatment, and prevention.心外膜起搏器导线所致心脏绞窄：诊断、治疗及预防
Gen Thorac Cardiovasc Surg. 2015 Jan;63(1):22-9. doi: 10.1007/s11748-014-0483-x. Epub 2014 Oct 11.
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