一根“长期”位置不当的起搏导线。拔除后的长期随访。

A "long-standing" malpositioned pacing lead. Long-term follow-up after extraction.

作者信息

Sarubbi Berardo, Scognamiglio Giancarlo, Fusco Flavia, Melillo Enrico, D'Alto Michele, Russo Maria Giovanna

机构信息

Monaldi Hospital, Adult Congenital Heart Disease Unit.

出版信息

Monaldi Arch Chest Dis. 2018 Sep 4;88(3):927. doi: 10.4081/monaldi.2018.927.

DOI:10.4081/monaldi.2018.927

PMID:30183161

Abstract

Transvenous pacemaker (PM) catheters can be unintentionally placed in the left ventricle (LV) during the implantation procedure. An 8-year-old girl was discovered with a malpositioned pm wire, seven years after the implant. Trans-thoracic echocardiogram revealed the lead traversing the inter-atrial septum, crossing the mitral valve and embedded in the basal lateral wall of the LV. This is a report of a 14-year long follow-up after the surgical extraction of the malpositioned PM lead.

摘要

经静脉起搏器（PM）导管在植入过程中可能会意外置入左心室（LV）。一名8岁女孩在植入起搏器7年后被发现起搏电极位置不当。经胸超声心动图显示电极穿过房间隔，跨过二尖瓣并嵌入左心室的基底侧壁。本文报告了对位置不当的PM电极进行手术取出后长达14年的随访情况。