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Cardiac strangulation causing refractory cardiac arrest during elective pacemaker revision: a cautionary tale

Published online by Cambridge University Press:  22 September 2020

Colm R Breatnach Open the ORCID record for Colm R Breatnach [Opens in a new window] ,
Aisling Snow ,
Lars Nölke  and
Paul Oslizlok
Colm R Breatnach*
Affiliation:
Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
Aisling Snow
Affiliation:
Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
Lars Nölke
Affiliation:
Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
Paul Oslizlok
Affiliation:
Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
*
Author for correspondence: Colm R Breatnach Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland. Tel: +353 863352944. E-mail: Colm.breatnach@gmail.com
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Abstract

We describe a previously asymptomatic 7-year-old girl with a sudden cardiac arrest during elective pacemaker revision. Later imaging identified epicardial pacemaker lead strangulation of the left anterior descending and left circumflex coronary arteries. Anaesthetic induction led to a reduction in myocardial perfusion, precipitating the arrest. Extreme care should be taken during anaesthesia if cardiac strangulation is suspected.

Keywords

Cardiologypaediatricspacemakerstrangulation
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 10 , October 2020 , pp. 1535 - 1537
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

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