意外发现心内膜除颤器导联压迫左冠状动脉前降支。

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Case Reports in Cardiology Pub Date : 2023-01-01 DOI:10.1155/2023/6646715

Alex Scripcariu, Denis Gaty, Philippe Maury

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引用次数: 0

摘要

由心脏起搏/除颤导联引起的冠状动脉压迫/损伤是非常罕见的，通常是起搏器植入的未知并发症。在这里，我们提出的情况下，71岁的妇女发现晚期无症状压迫左前降支冠状动脉(LAD)由除颤铅植入十年前。这劝阻了我们移除这个高阈值的故障导联，并将一个额外的右心室(RV)导联与心房和左心室(LV)导联一起植入，以允许再同步治疗。根据已发表的数据，目前大多数RV导联被植入“前间隔区”，该区域与LAD相邻。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Late Incidental Discovery of Compression of the Left Anterior Descending Coronary Artery by an Endocardial Defibrillator Lead.

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Late Incidental Discovery of Compression of the Left Anterior Descending Coronary Artery by an Endocardial Defibrillator Lead.

Coronary artery compression/damage by cardiac pacing/defibrillation leads is very rare and often an unknown complication of pacemaker implantation. Here, we present the case of a 71-year-old woman with late discovery of an asymptomatic compression of the left anterior descending (LAD) coronary artery by a defibrillation lead implanted ten years before. This dissuaded us in removing this now malfunctioning lead with high threshold, and an additional right ventricular (RV) lead was implanted along with atrial and left ventricular (LV) leads for allowing resynchronization therapy. Based on the published data, a majority of RV leads are currently implanted in the "anteroseptal area," which is neighboring the course of the LAD.

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来源期刊

Case Reports in Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： Case Reports in Cardiology is a peer-reviewed, Open Access journal that publishes case reports and case series related to hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease and cardiomyopathy.