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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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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. |
format | Online Article Text |
id | pubmed-9576871 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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