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Related Experiment Videos

Left ventricular pseudoaneurysm after epicardial patch electrode placement

W H Maisel1, J M Lukanich, R Bueno

  • 1Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. whmaisel@bics.bwh.harvard.edu

The Annals of Thoracic Surgery
|February 4, 1999
PubMed
Summary
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A rare complication of implantable cardioverter-defibrillator (ICD) placement, left ventricular pseudoaneurysm, was successfully treated. This case highlights the importance of recognizing and managing this serious adverse event following ICD implantation.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Device Complications

Background:

  • Implantable cardioverter-defibrillators (ICDs) are crucial for managing life-threatening arrhythmias.
  • While generally safe, ICD placement carries risks of various complications.
  • Epicardial lead placement, though less common than transvenous, is associated with specific risks.

Observation:

  • A patient developed a left ventricular pseudoaneurysm, a rare but serious complication.
  • This pseudoaneurysm was a direct consequence of epicardial patch electrode placement during ICD implantation.
  • The patient presented with specific symptoms necessitating prompt diagnosis and intervention.

Findings:

  • Diagnostic evaluation confirmed the presence of a left ventricular pseudoaneurysm.

Related Experiment Videos

  • The pseudoaneurysm was successfully repaired through surgical intervention.
  • This case details the clinical presentation, diagnostic pathway, and successful management strategy.

    • Implications:

    • This case underscores the potential for rare complications associated with ICD procedures.
    • Awareness of left ventricular pseudoaneurysm as a complication of epicardial ICD leads is critical for clinicians.
    • Prompt diagnosis and surgical repair are essential for favorable outcomes in such cases.