Document Detail

Surgical treatment for right ventricular perforation caused by transvenous pacing electrodes: a report of three cases.
MedLine Citation:
PMID:  8931229     Owner:  NLM     Status:  MEDLINE    
We experienced three cases of right ventricular perforation that were induced by transvenous pacing electrodes. The patients were a 72-year-old man who underwent percutaneous transluminal coronary recanalization and angioplasty, an 80-year-old woman who had temporary transvenous pacing for a complete atrioventricular block induced by acute valvular heart failure, and a 44-year-old man who had received a permanent pacemaker. All three patients were treated surgically. The first and second patients demonstrated either cardiac tamponade or hemopericardium necessitating pericardial drainage. Spontaneous hemostasis did not occur in cases 1 and 2, due to either anticoagulant therapy or myocardial degeneration. Such patients require surgical closure of the perforation and pericardial drainage as soon as pericardial effusion is confirmed. In contrast, middle-aged individuals without myocardial damage, such as patient 3, need only a simple removal and repositioning of the electrode followed by serial echocardiography.
M Asano; A Mishima; T Ishii; Y Takeuchi; Y Suzuki; T Manabe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  26     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  1996  
Date Detail:
Created Date:  1997-03-04     Completed Date:  1997-03-04     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  933-5     Citation Subset:  IM    
Department of Surgery, Kariya General Hospital, Aichi, Japan.
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MeSH Terms
Aged, 80 and over
Cardiac Pacing, Artificial / adverse effects*
Cardiac Tamponade / etiology
Electrodes, Implanted / adverse effects*
Heart Injuries / etiology*,  surgery*
Heart Ventricles / injuries,  surgery
Middle Aged

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