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Sudden cardiac arrest in an epicardial paced-dependent child: watch out, it’s a pitfall!

Published online by Cambridge University Press:  02 December 2020

Raymond N. Haddad*
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, University de Paris, Paris, France
Sophie Malekzadeh-Milani
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, University de Paris, Paris, France
Damien Bonnet
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, University de Paris, Paris, France
Alice Maltret
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, University de Paris, Paris, France
*
Author for correspondence: Dr Raymond N. Haddad, MD, Unité médicochirurgicale de cardiologie congénitale et pédiatrique, centre de référence des malformations cardiaques congénitales complexes – M3C, Hôpital universitaire Necker-Enfants malades, university de Paris, 149, rue de Sèvres, 750015, Paris, France. Tel: +33 7 53 15 95 04; +961 70 605 800; Fax: +33 1 44 49 47 30. E-mail: raymondhaddad@live.com

Abstract

Coronary artery compression by epicardial leads is a rare complication in children and can be difficult to identify with potentially lethal outcomes. Herein, we report the case of a previously asymptomatic paced-dependant 5-year-old girl who presented to our institution with resuscitated cardiac arrest. We describe the atypical sequence of clinical findings misleading initial diagnosis. Hardware failure and the commonly occurring lead fracture were incriminated in the mechanism of cardiac arrest, precipitating implantation of a new pacing system while concealing dynamic compression of the left anterior descending coronary artery.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

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Sudden cardiac arrest in an epicardial paced-dependent child: watch out, it’s a pitfall!
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