Cor Vasa 2012, 54(9-10):e323-e325 | DOI: 10.1016/j.crvasa.2012.07.003

Tracking an unusually migrated pacing lead

Jan ©ochman
Klinika kardiologie, Institut klinické a experimentální medicíny, Praha, Česká republika

V rámci znaleckého posuzování soudního případu byla nalezena raritní a fatální komplikace. ©lo o oddálenou migraci dočasné stimulační elektrody s mnohočetnou orgánovou perforací s trajektorií procházející stěnou pravé komory, perikardem, levou plící, dutinou hrudní, bránicí, dutinou břiąní do levého retroperitonea s koncem elektrody blízko levé ledviny. Ačkoli byla elektroda odstraněna, při chirurgické revizi byl nalezen zmíněný kanál, který byl zdrojem fatálního krvácení. Toto krvácení bylo usnadněno inhibicí funkce trombocytů a přechodně i sníľením jejich počtu následkem aplikace nízkomolekulárního heparinu. Nebyly zaznamenány ľádné symptomy související s popsanou pasáľí elektrody tělem nemocného.

Keywords: Krvácení; Mnohočetná perforace; Oddálená migrace komorové elektrody

Received: March 28, 2012; Revised: July 26, 2012; Accepted: July 31, 2012; Published: September 1, 2012  Show citation

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©ochman J. Tracking an unusually migrated pacing lead. Cor Vasa. 2012;54(9-10):e323-325. doi: 10.1016/j.crvasa.2012.07.003.
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