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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: Colm.breatnach@gmail.com
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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

Information

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

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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