Thorac Cardiovasc Surg 2000; 48(2): 103-105
DOI: 10.1055/s-2000-9935
Case Report
© Georg Thieme Verlag Stuttgart · New York

Cardiac Strangulation in a Neonatal Case: A Rare Complication of Permanent Epicardial Pacemaker Leads

H. Watanabe1 , J. Hayashi1 , M. Sugawara1 , T. Hashimoto1 , S. Sato2 , K. Takeuchi2
  • 1Departments of Thoracic and Cardiovascular Surgery and
  • 2Pediatrics, Niigata University School of Medicine, Niigata, Japan
Further Information

Publication History

Publication Date:
31 December 2000 (online)

A newborn female underwent pacemaker implantation with epicardial pacing leads for the treatment of bradycardia caused by congenital atrioventricular block. At 10 months after pacemaker implantation, she was admitted with congestive heart failure. The epicardial leads were seen to encircle the heart, and myocardial ischemia was suggested. During cardiac catheterization she collapsed: emergency operation was performed, but she died on postoperative day 6.

References

  • 1 Brenner J I, Gaines S, Cordier J. et al . Cardiac strangulation: two-dimensional echo recognition of a rare complication of epicardial pacemaker therapy.  Am J Cardiol.. 1988;  61 654-6
  • 2 Eyskens B, Mertens L, Moerman P. et al . Cardiac strangulation, a rare complication of epicardial pacemaker leads during growth.  Heart.. 1997;  77 288-9
  • 3 Sugita T, Yokota Y, Ando F. et al . Cardiac strangulation with permanent epicardial pacemaker lead.  Kyobugeka.. 1992;  45 456-8
  • 4 Perry J C, Nihill M R, Ludomirsky A. et al . The pulmonary artery lasso: epicardial pacing lead causing right ventricular outflow obstruction.  PACE. 1991;  14 1018-23

Received for Publication: November 24, 1998

MD Hiroshi Watanabe

Department of Thoracic and Cardiovascular Surgery Niigata University School of Medicine

757 Asahimachi-dohri 1

Niigata City 951-8510

Japan