Cargando…

Abandoned Intracardiac Electrodes in an Oncological Patient

Cardiological and oncological patients comprise the majority of patients admitted to the emergency unit with chronic or acute conditions that are the dominant cause of death worldwide. However, electrotherapy and implantable devices (pacemakers and cardioverters) improve the prognosis of cardiologic...

Descripción completa

Detalles Bibliográficos
Autores principales: Klotzka, Aneta, Iwańczyk, Sylwia, Sobańska, Karolina, Mitkowski, Przemysław, Woźniak, Patrycja, Lesiak, Maciej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10303016/
https://www.ncbi.nlm.nih.gov/pubmed/37373885
http://dx.doi.org/10.3390/jpm13060896
_version_ 1785065179353972736
author Klotzka, Aneta
Iwańczyk, Sylwia
Sobańska, Karolina
Mitkowski, Przemysław
Woźniak, Patrycja
Lesiak, Maciej
author_facet Klotzka, Aneta
Iwańczyk, Sylwia
Sobańska, Karolina
Mitkowski, Przemysław
Woźniak, Patrycja
Lesiak, Maciej
author_sort Klotzka, Aneta
collection PubMed
description Cardiological and oncological patients comprise the majority of patients admitted to the emergency unit with chronic or acute conditions that are the dominant cause of death worldwide. However, electrotherapy and implantable devices (pacemakers and cardioverters) improve the prognosis of cardiological patients. We present the case report of a patient who, in the past, had a pacemaker implanted due to symptomatic sick sinus syndrome (SSS) without removing the two remaining leads. Echocardiography revealed severe tricuspid valve regurgitation. The tricuspid valve septal cusp was in a restricting position due to the two ventricular leads passing through the valve. A few years later, she was diagnosed with breast cancer. We present a 65-year-old female admitted to the department due to right ventricular failure. The patient manifested symptoms of right heart failure, predominated by ascites and lower extremity edema, despite increasing doses of diuretics. The patient underwent a mastectomy two years ago due to breast cancer and was qualified for thorax radiotherapy. A new pacemaker system was implanted in the right subclavian area as the pacemaker generator occupied the radiotherapy field. In the case of right ventricular lead removal and the need for pacing and resynchronization therapy, guidelines allow a coronary sinus for LV pacing to avoid passing the leads through the tricuspid valve. We facilitated this approach in our patient, suggesting that the percentage of ventricular pacing was very low.
format Online
Article
Text
id pubmed-10303016
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103030162023-06-29 Abandoned Intracardiac Electrodes in an Oncological Patient Klotzka, Aneta Iwańczyk, Sylwia Sobańska, Karolina Mitkowski, Przemysław Woźniak, Patrycja Lesiak, Maciej J Pers Med Case Report Cardiological and oncological patients comprise the majority of patients admitted to the emergency unit with chronic or acute conditions that are the dominant cause of death worldwide. However, electrotherapy and implantable devices (pacemakers and cardioverters) improve the prognosis of cardiological patients. We present the case report of a patient who, in the past, had a pacemaker implanted due to symptomatic sick sinus syndrome (SSS) without removing the two remaining leads. Echocardiography revealed severe tricuspid valve regurgitation. The tricuspid valve septal cusp was in a restricting position due to the two ventricular leads passing through the valve. A few years later, she was diagnosed with breast cancer. We present a 65-year-old female admitted to the department due to right ventricular failure. The patient manifested symptoms of right heart failure, predominated by ascites and lower extremity edema, despite increasing doses of diuretics. The patient underwent a mastectomy two years ago due to breast cancer and was qualified for thorax radiotherapy. A new pacemaker system was implanted in the right subclavian area as the pacemaker generator occupied the radiotherapy field. In the case of right ventricular lead removal and the need for pacing and resynchronization therapy, guidelines allow a coronary sinus for LV pacing to avoid passing the leads through the tricuspid valve. We facilitated this approach in our patient, suggesting that the percentage of ventricular pacing was very low. MDPI 2023-05-26 /pmc/articles/PMC10303016/ /pubmed/37373885 http://dx.doi.org/10.3390/jpm13060896 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Klotzka, Aneta
Iwańczyk, Sylwia
Sobańska, Karolina
Mitkowski, Przemysław
Woźniak, Patrycja
Lesiak, Maciej
Abandoned Intracardiac Electrodes in an Oncological Patient
title Abandoned Intracardiac Electrodes in an Oncological Patient
title_full Abandoned Intracardiac Electrodes in an Oncological Patient
title_fullStr Abandoned Intracardiac Electrodes in an Oncological Patient
title_full_unstemmed Abandoned Intracardiac Electrodes in an Oncological Patient
title_short Abandoned Intracardiac Electrodes in an Oncological Patient
title_sort abandoned intracardiac electrodes in an oncological patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10303016/
https://www.ncbi.nlm.nih.gov/pubmed/37373885
http://dx.doi.org/10.3390/jpm13060896
work_keys_str_mv AT klotzkaaneta abandonedintracardiacelectrodesinanoncologicalpatient
AT iwanczyksylwia abandonedintracardiacelectrodesinanoncologicalpatient
AT sobanskakarolina abandonedintracardiacelectrodesinanoncologicalpatient
AT mitkowskiprzemysław abandonedintracardiacelectrodesinanoncologicalpatient
AT wozniakpatrycja abandonedintracardiacelectrodesinanoncologicalpatient
AT lesiakmaciej abandonedintracardiacelectrodesinanoncologicalpatient