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Minimally invasive repair of iatrogenic right ventricular perforation guided by bedside contrast-enhanced ultrasound: A case report and literature review

This case report involves a 93-year-old female patient with atrioventricular block and suffered right ventricular free wall perforation during installation of Micra Leadless Pacemaker (MLP). Pericardial tamponade occurred shortly, and we adopted pericardial catheter drainage as the primary emergency...

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Autores principales: Zhao, Yanchun, Lin, Yucheng, Hong, Zhiliang, Lai, Baochun, Lian, Lianghua, Chen, Lin, Xie, Qi, Zhou, Xiaofen, Wu, Songsong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9576871/
https://www.ncbi.nlm.nih.gov/pubmed/36267631
http://dx.doi.org/10.3389/fcvm.2022.986904
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author Zhao, Yanchun
Lin, Yucheng
Hong, Zhiliang
Lai, Baochun
Lian, Lianghua
Chen, Lin
Xie, Qi
Zhou, Xiaofen
Wu, Songsong
author_facet Zhao, Yanchun
Lin, Yucheng
Hong, Zhiliang
Lai, Baochun
Lian, Lianghua
Chen, Lin
Xie, Qi
Zhou, Xiaofen
Wu, Songsong
author_sort Zhao, Yanchun
collection PubMed
description This case report involves a 93-year-old female patient with atrioventricular block and suffered right ventricular free wall perforation during installation of Micra Leadless Pacemaker (MLP). Pericardial tamponade occurred shortly, and we adopted pericardial catheter drainage as the primary emergency treatment. Considering the patient's physical conditions and leveraging the special treatment facilitates of the Intensive Care Unit (ICU), we tried a new emergency treatment approach. After putting the patient under intravenous anesthesia (no cardiac arrest), we made a small intercostal incision and performed bedside minimally invasive repair of right ventricular free wall perforation. It should be noted that ultrasound played a key role in pinpointing the breach and intraoperative guidance. We first used contrast-enhanced ultrasound (CEUS) to locate the breach. Then guided by bedside ultrasound, we accessed the perforation with the minimum incision size (5 cm). Our experience in this case may serve as a good reference in the emergency treatment for right ventricular free wall perforation.
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spelling pubmed-95768712022-10-19 Minimally invasive repair of iatrogenic right ventricular perforation guided by bedside contrast-enhanced ultrasound: A case report and literature review Zhao, Yanchun Lin, Yucheng Hong, Zhiliang Lai, Baochun Lian, Lianghua Chen, Lin Xie, Qi Zhou, Xiaofen Wu, Songsong Front Cardiovasc Med Cardiovascular Medicine This case report involves a 93-year-old female patient with atrioventricular block and suffered right ventricular free wall perforation during installation of Micra Leadless Pacemaker (MLP). Pericardial tamponade occurred shortly, and we adopted pericardial catheter drainage as the primary emergency treatment. Considering the patient's physical conditions and leveraging the special treatment facilitates of the Intensive Care Unit (ICU), we tried a new emergency treatment approach. After putting the patient under intravenous anesthesia (no cardiac arrest), we made a small intercostal incision and performed bedside minimally invasive repair of right ventricular free wall perforation. It should be noted that ultrasound played a key role in pinpointing the breach and intraoperative guidance. We first used contrast-enhanced ultrasound (CEUS) to locate the breach. Then guided by bedside ultrasound, we accessed the perforation with the minimum incision size (5 cm). Our experience in this case may serve as a good reference in the emergency treatment for right ventricular free wall perforation. Frontiers Media S.A. 2022-10-04 /pmc/articles/PMC9576871/ /pubmed/36267631 http://dx.doi.org/10.3389/fcvm.2022.986904 Text en Copyright © 2022 Zhao, Lin, Hong, Lai, Lian, Chen, Xie, Zhou and Wu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Zhao, Yanchun
Lin, Yucheng
Hong, Zhiliang
Lai, Baochun
Lian, Lianghua
Chen, Lin
Xie, Qi
Zhou, Xiaofen
Wu, Songsong
Minimally invasive repair of iatrogenic right ventricular perforation guided by bedside contrast-enhanced ultrasound: A case report and literature review
title Minimally invasive repair of iatrogenic right ventricular perforation guided by bedside contrast-enhanced ultrasound: A case report and literature review
title_full Minimally invasive repair of iatrogenic right ventricular perforation guided by bedside contrast-enhanced ultrasound: A case report and literature review
title_fullStr Minimally invasive repair of iatrogenic right ventricular perforation guided by bedside contrast-enhanced ultrasound: A case report and literature review
title_full_unstemmed Minimally invasive repair of iatrogenic right ventricular perforation guided by bedside contrast-enhanced ultrasound: A case report and literature review
title_short Minimally invasive repair of iatrogenic right ventricular perforation guided by bedside contrast-enhanced ultrasound: A case report and literature review
title_sort minimally invasive repair of iatrogenic right ventricular perforation guided by bedside contrast-enhanced ultrasound: a case report and literature review
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9576871/
https://www.ncbi.nlm.nih.gov/pubmed/36267631
http://dx.doi.org/10.3389/fcvm.2022.986904
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