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Sudden cardiac arrest in an epicardial paced-dependent child: watch out, it’s a pitfall!

Published online by Cambridge University Press:  02 December 2020

Raymond N. Haddad Open the ORCID record for Raymond N. Haddad [Opens in a new window] ,
Sophie Malekzadeh-Milani Open the ORCID record for Sophie Malekzadeh-Milani [Opens in a new window] ,
Damien Bonnet Open the ORCID record for Damien Bonnet [Opens in a new window]  and
Alice Maltret Open the ORCID record for Alice Maltret [Opens in a new window]
Raymond N. Haddad*
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, University de Paris, Paris, France
Sophie Malekzadeh-Milani
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, University de Paris, Paris, France
Damien Bonnet
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, University de Paris, Paris, France
Alice Maltret
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, University de Paris, Paris, France
*
Author for correspondence: Dr Raymond N. Haddad, MD, Unité médicochirurgicale de cardiologie congénitale et pédiatrique, centre de référence des malformations cardiaques congénitales complexes – M3C, Hôpital universitaire Necker-Enfants malades, university de Paris, 149, rue de Sèvres, 750015, Paris, France. Tel: +33 7 53 15 95 04; +961 70 605 800; Fax: +33 1 44 49 47 30. E-mail: [email protected]
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Abstract

Coronary artery compression by epicardial leads is a rare complication in children and can be difficult to identify with potentially lethal outcomes. Herein, we report the case of a previously asymptomatic paced-dependant 5-year-old girl who presented to our institution with resuscitated cardiac arrest. We describe the atypical sequence of clinical findings misleading initial diagnosis. Hardware failure and the commonly occurring lead fracture were incriminated in the mechanism of cardiac arrest, precipitating implantation of a new pacing system while concealing dynamic compression of the left anterior descending coronary artery.

Keywords

Pacemakerepicardial leadcoronary artery compressioncardiac arrestchildren
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 3 , March 2021 , pp. 482 - 484
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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