Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-29T00:47:19.190Z Has data issue: false hasContentIssue false
  • English
  • Français

Cardiac strangulation causing refractory cardiac arrest during elective pacemaker revision: a cautionary tale

Published online by Cambridge University Press:  22 September 2020

Colm R Breatnach Open the ORCID record for Colm R Breatnach [Opens in a new window] ,
Aisling Snow ,
Lars Nölke  and
Paul Oslizlok
Colm R Breatnach*
Affiliation:
Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
Aisling Snow
Affiliation:
Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
Lars Nölke
Affiliation:
Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
Paul Oslizlok
Affiliation:
Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
*
Author for correspondence: Colm R Breatnach Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland. Tel: +353 863352944. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Cardiologypaediatricspacemakerstrangulation
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 10 , October 2020 , pp. 1535 - 1537
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brugada, J, Blom, N, Sarquella-Brugada, G, et al. Pharmacological and non-pharmacological therapy for arrhythmias in the pediatric population: EHRA and AEPC-Arrhythmia Working Group joint consensus statement. Europace 2013; 15: 1337–1382.CrossRefGoogle Scholar
Murayama, H, Maeda, M, Sakurai, H, Usui, A, Ueda, Y. Predictors affecting durability of epicardial pacemaker leads in pediatric patients. J Thorac Cardiovasc Surg 2008; 135: 361–366.CrossRefGoogle ScholarPubMed
Alhuzaimi, A, Roy, N, Duncan, WJ. Cardiac strangulation from epicardial pacemaker: early recognition and prevention. Cardiol Young 2011; 21: 471–473.CrossRefGoogle ScholarPubMed
Mah, DY, Prakash, A, Porras, D, Fynn-Thompson, F, DeWitt, ES, Banka, P. Coronary artery compression from epicardial leads: more common than we think. Heart Rhythm 2018; 15: 1439–1447.CrossRefGoogle ScholarPubMed
Carreras, EM, Duncan, WJ, Djurdjev, O, Campbell, AI. Cardiac strangulation following epicardial pacemaker implantation: a rare pediatric complication. J Thorac Cardiovasc Surg 2015; 149: 522–527.CrossRefGoogle ScholarPubMed
Watanabe, H, Hayashi, J, Sugawara, M, Hashimoto, T, Sato, S, Takeuchi, K. Cardiac strangulation in a neonatal case: a rare complication of permanent epicardial pacemaker leads. Thorac Cardiovasc Surg 2000; 48: 103–105.CrossRefGoogle Scholar