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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.
Cardiology in the Young
|March 18, 2011
Summary
Cardiac strangulation from epicardial pacemaker leads is a rare but serious complication. This case highlights the importance of recognizing and preventing this issue in pediatric patients with congenital heart block.
Area of Science:
- Cardiology
- Pediatric Electrophysiology
Background:
- Epicardial pacemaker leads are used in neonates for congenital heart block.
- Cardiac strangulation by these leads is a rare but life-threatening complication.
Observation:
- A 3-year-old girl developed cardiac strangulation from epicardial pacemaker leads implanted in neonate.
- The patient had complete congenital cardiac block requiring pacing.
Findings:
- The case illustrates the clinical presentation of cardiac strangulation.
- Technical aspects of lead and generator placement are crucial for prevention.
Implications:
- Early recognition and management of cardiac strangulation are vital.
- Optimizing surgical techniques for pacemaker implantation can reduce risks.
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