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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
28:13

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

Guidewire embolization and right ventricular perforation visualized by cardiac CT

Emil M deGoma1, Neil J Goldberg, Ronald P Karlsberg

  • 1Division of Cardiovascular Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. Emil.deGoma@uphs.upenn.edu

Journal of Cardiovascular Computed Tomography
|November 6, 2010
PubMed

Insights

A retained wire stylus caused a cardiac perforation, diagnosed using cardiac CT. This imaging technique is crucial for identifying device migration and guiding safe surgical extraction.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Device Technology

Background:

  • Septic arthritis can lead to complications involving indwelling devices.
  • Chest pain is a critical symptom requiring thorough cardiac evaluation.

Observation:

  • A 60-year-old physician presented with chest pain, initially non-diagnostic via ECG, chest X-ray, and echocardiogram.
  • Cardiac CT revealed a retained wire stylus perforating the right ventricle.

Findings:

  • Cardiac CT effectively diagnosed device migration and cardiac perforation.
  • The imaging identified associated sequelae such as hemopericardium.

Implications:

  • CT imaging is vital for diagnosing cardiac device complications.
  • Accurate device visualization facilitates safe and effective surgical extraction procedures.

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