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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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 |
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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 |
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