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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
Summary
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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