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Sub-clinical myocardial ischaemia due to cardiac strangulation by an epicardial pacemaker lead

Published online by Cambridge University Press:  06 August 2020

Jun Muneuchi Open the ORCID record for Jun Muneuchi [Opens in a new window] ,
Hirohito Doi ,
Mamie Watanabe  and
Yoshie Ochiai
Jun Muneuchi*
Affiliation:
Department of Pediatrics, Kyushu Hospital, Japan Community Healthcare Organization, Fukuoka, Japan
Hirohito Doi
Affiliation:
Department of Pediatrics, Kyushu Hospital, Japan Community Healthcare Organization, Fukuoka, Japan
Mamie Watanabe
Affiliation:
Department of Pediatrics, Kyushu Hospital, Japan Community Healthcare Organization, Fukuoka, Japan
Yoshie Ochiai
Affiliation:
Department of Cardiovascular Surgery, Kyushu Hospital, Japan Community Healthcare Organization, Fukuoka, Japan
*
Author for correspondence: Jun Muneuchi, M.D., Department of Pediatrics, Kyushu Hospital, Japan Community Healthcare Organization, 1-8-2, Kishionura, Yahatanishi-ku, Kitakyushu, Fukuoka806-8507, Japan. Tel: +81 93 641 5111; Fax: +81 93 642 1868. E-mail: jmune@msn.com
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Abstract

We present the case of a 10-year-old boy with congenital complete atrioventricular block who had cardiac strangulation by an epicardial pacemaker lead placed during infancy. Coronary angiography and Tc99m tetrofosmin myocardial perfusion scintigraphy suggested sub-clinical myocardial ischaemia.

Keywords

Congenital complete atrioventricular blockcardiomyopathyarrhythmia
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 30 , Issue 9 , September 2020 , pp. 1335 - 1336
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Alhuzaimi, A, Roy, N, Duncan, WJ. Cardiac strangulation from epicardial pacemaker: early recognition and prevention. Cardiol Young 2011; 21: 471–473. doi: 10.1017/S1047951111000242.CrossRefGoogle ScholarPubMed
Takeuchi, D, Tomizawa, Y. Cardiac strangulation from epicardial pacemaker leads: diagnosis, treatment, and prevention. Gen Thorac Cardiovasc Surg 2015; 63: 22–29. doi: 10.1007/s11748-014-0483-x.CrossRefGoogle Scholar
Janík, M, Hejna, P, Straka, Ľ, Krajčovič, J, Novomeský, F. Strangulation of the heart presenting as sudden cardiac death: a deadly but forgotten complication of epicardial pacing device. Leg Med (Tokyo). 2018; 32: 107–112. doi: 10.1016/j.legalmed.2018.04.001.CrossRefGoogle ScholarPubMed

Muneuchi et al. supplementary material

Muneuchi et al. supplementary material

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