Ismail Umar, Cloutier Justin, Khoo Clarence, Khadem Ali, Seifer Colette M
Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E3P5, Canada.
Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E3P5, Canada.
Indian Pacing Electrophysiol J. 2020 May-Jun;20(3):129-131. doi: 10.1016/j.ipej.2020.02.004. Epub 2020 Mar 4.
An 18 year old male with an incompletely healed clavicle fracture presented with unexplained syncope. Subsequent investigations were consistent with a diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC). A subcutaneous implantable cardioverter-defibrillator (S-ICD) was successfully implanted and defibrillation threshold (DFT) testing performed as per standard protocol. Shortly following the procedure, the patient complained of pain and swelling over the left clavicle. A radiograph revealed aggravation and displacement of the underlying clavicle fracture. Surgical reduction and internal fixation was performed one week later.
一名18岁男性，锁骨骨折未完全愈合，出现不明原因晕厥。后续检查结果符合致心律失常性右室心肌病（ARVC）的诊断。成功植入皮下植入式心律转复除颤器（S-ICD），并按照标准方案进行除颤阈值（DFT）测试。术后不久，患者诉左锁骨处疼痛、肿胀。X线片显示潜在的锁骨骨折加重并移位。一周后进行了手术复位及内固定。
