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Twiddler’s syndrome with occult lead insulation damage in a child with epicardial pacemaker leads

Published online by Cambridge University Press:  19 May 2020

Peter Kramer Open the ORCID record for Peter Kramer [Opens in a new window] ,
Felix Berger  and
Björn Peters Open the ORCID record for Björn Peters [Opens in a new window]
Peter Kramer
Affiliation:
Department of Congenital Heart Disease, Pediatric Cardiology, German Heart Centre Berlin, 13353Berlin, Germany
Felix Berger
Affiliation:
Department of Congenital Heart Disease, Pediatric Cardiology, German Heart Centre Berlin, 13353Berlin, Germany Department of Pediatric Cardiology, Charité – Universitätsmedizin Berlin, 13353Berlin, Germany German Centre for Cardiovascular Research (DZHK), 13347Berlin, Germany
Björn Peters*
Affiliation:
Department of Congenital Heart Disease, Pediatric Cardiology, German Heart Centre Berlin, 13353Berlin, Germany
*
Author for correspondence: B. Peters, MD, Department of Congenital Heart Disease, Pediatric Cardiology, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353Berlin, Germany. Tel: +49 30 4593 2800; Fax: +49 30 4593 2900. E-mail: [email protected]
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Abstract

We present a rare case of incidentally diagnosed Twiddler’s syndrome in a child 7 years after implantation of a dual-chamber pacemaker system with epicardial leads. During revision, an insulation defect of the ventricular lead was evident, despite unremarkable prior pacemaker lead testing. The lead was repaired and a new generator was suture-fixated to prevent re-occurrence of generator manipulation.

Keywords

Twiddler’s syndromechildpacemaker complication
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 6 , June 2020 , pp. 890 - 891
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

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