Author:
Goli Anil K.,Kaszala Karoly,Osman Mohammed N.,Lucke John,Carrillo Roger
Abstract
A 65-year-old man was evaluated for chronic chest pain that had been present for 8 years after placement of a dual-chamber implantable cardioverter-defibrillator to treat inducible ventricular tachycardia. Previous coronary angiography had revealed nonobstructive coronary artery disease and a left ventricular ejection fraction of 0.45 to 0.50, consistent with mild idiopathic nonischemic cardiomyopathy. Evaluation with chest radiography and transthoracic echocardiography showed the implantable cardioverter-defibrillator lead to be embedded within the right ventricle at the moderator band, which had mild calcification. Treatment included extraction of the dual-coil lead and placement of a new single-coil right ventricular lead at the mid septum. The patient had complete relief of symptoms after the procedure. This case shows that chest pain can be associated with the placement of a right ventricular implantable cardioverter-defibrillator lead in the moderator band and that symptomatic relief can occur after percutaneous lead extraction and the implantation of a new right ventricular lead to the mid septal region.
Publisher
Texas Heart Institute Journal
Subject
Cardiology and Cardiovascular Medicine
Reference11 articles.
1. Permanent transvenous pacing in 1962;Parsonnet;Pacing Clin Electrophysiol,1978
2. Preliminary investigation of the development of a permanent implantable pacemaker utilizing an intracardiac dipolar electrode [abstract];Parsonnet;Clin Res,1962
3. An intracardiac bipolar electrode for interim treatment of complete heart block;Parsonnet;Am J Cardiol,1962
4. How it happened: my recollection of early pacing;Lagergren;Pacing Clin Electrophysiol,1978
5. Intracardiac stimulation for complete heart block;Lagergren;Acta Chir Scand,1963
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献