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Cardiac strangulation from epicardial pacemaker: early recognition and prevention
Abdullah Alhuzaimi1, Nathalie Roy, Walter J Duncan
1Division of Cardiology, Department of Pediatrics, Children's Heart Centre, Vancouver, British Columbia, Canada.
Abstract:
Cardiac strangulation from epicardial pacemaker leads is a rare event that can be difficult to recognise and can cause serious complications such as cardiac failure or death. We describe a 3-year-old girl who received an epicardial pacing system as a neonate for complete congenital cardiac block and developed cardiac strangulation from the leads. The clinical presentation modes are reviewed and technical aspects for lead and generator positioning are discussed.
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