Cardiac strangulation causing refractory cardiac arrest during elective pacemaker revision: a cautionary tale
Colm R Breatnach1, Aisling Snow1, Lars Nölke1
1Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.
Abstract:
We describe a previously asymptomatic 7-year-old girl with a sudden cardiac arrest during elective pacemaker revision. Later imaging identified epicardial pacemaker lead strangulation of the left anterior descending and left circumflex coronary arteries. Anaesthetic induction led to a reduction in myocardial perfusion, precipitating the arrest. Extreme care should be taken during anaesthesia if cardiac strangulation is suspected.
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