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Diaphragmatic Stimulation: A case of Atrial Lead Dislodgement and Right Atrium perforation
We report a 48 year old male who presented with diaphragmatic stimulation. The biventricular implantable cardioverter and defibrillator (CRT-D) was implanted two weeks before admission and active fixation lead caused perforation of the right atrial wall. Echocardiography did not demonstrate pericard...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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Indian Heart Rhythm Society
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267897/ https://www.ncbi.nlm.nih.gov/pubmed/18379658 |
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author | Namazi, MH Karbasi-Afshar, R Safi, M Serati, AR |
author_facet | Namazi, MH Karbasi-Afshar, R Safi, M Serati, AR |
author_sort | Namazi, MH |
collection | PubMed |
description | We report a 48 year old male who presented with diaphragmatic stimulation. The biventricular implantable cardioverter and defibrillator (CRT-D) was implanted two weeks before admission and active fixation lead caused perforation of the right atrial wall. Echocardiography did not demonstrate pericardial effusion but Chest X-ray and computed tomography (CT) visualized the atrial screw helix outside the right atrial wall, penetrating through the right lung middle lobe. There was no atrial capture. After changing the pace mode DDDR to VVIR, diaphragmatic stimulation was disappeared. The atrial lead was repositioned and fixed again. During the hospital admission and after that the patient was well and free of any symptoms. |
format | Text |
id | pubmed-2267897 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | Indian Heart Rhythm Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-22678972008-04-01 Diaphragmatic Stimulation: A case of Atrial Lead Dislodgement and Right Atrium perforation Namazi, MH Karbasi-Afshar, R Safi, M Serati, AR Indian Pacing Electrophysiol J Case Report We report a 48 year old male who presented with diaphragmatic stimulation. The biventricular implantable cardioverter and defibrillator (CRT-D) was implanted two weeks before admission and active fixation lead caused perforation of the right atrial wall. Echocardiography did not demonstrate pericardial effusion but Chest X-ray and computed tomography (CT) visualized the atrial screw helix outside the right atrial wall, penetrating through the right lung middle lobe. There was no atrial capture. After changing the pace mode DDDR to VVIR, diaphragmatic stimulation was disappeared. The atrial lead was repositioned and fixed again. During the hospital admission and after that the patient was well and free of any symptoms. Indian Heart Rhythm Society 2008-04-01 /pmc/articles/PMC2267897/ /pubmed/18379658 Text en Copyright: © 2008 Namazi et al. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Namazi, MH Karbasi-Afshar, R Safi, M Serati, AR Diaphragmatic Stimulation: A case of Atrial Lead Dislodgement and Right Atrium perforation |
title | Diaphragmatic Stimulation: A case of Atrial Lead Dislodgement and Right Atrium perforation |
title_full | Diaphragmatic Stimulation: A case of Atrial Lead Dislodgement and Right Atrium perforation |
title_fullStr | Diaphragmatic Stimulation: A case of Atrial Lead Dislodgement and Right Atrium perforation |
title_full_unstemmed | Diaphragmatic Stimulation: A case of Atrial Lead Dislodgement and Right Atrium perforation |
title_short | Diaphragmatic Stimulation: A case of Atrial Lead Dislodgement and Right Atrium perforation |
title_sort | diaphragmatic stimulation: a case of atrial lead dislodgement and right atrium perforation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267897/ https://www.ncbi.nlm.nih.gov/pubmed/18379658 |
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