雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Delayed Cardiac Tamponade after Pacemaker Implantation: A case report Sayaka Okumura 1 , Ryoichi Kubo 1 , Erika Odaka 1 , Hiroshi Koganei 1 , Hiroyuki Tanaka 1 , Tetsuro Ueda 1 , Shigeki Inaba 1 , Mikio Ninomiya 2 , Takahiro Nonaka 2 , Toshiya Otsuka 2 1Department of Cardiology, Tokyo Metropolitan Fuchu Hospital 2Department of Cardiovascular Surgery, Tokyo Metropolitan Fuchu Hostal Keyword: ペースメーカ , 心タンポナーデ , screw-in型リード , pacemaker , cardiac tamponade , screw-in lead pp.533-536
Published Date 2008/5/15
DOI https://doi.org/10.11477/mf.1404101041
  • Abstract
  • Look Inside
  • Reference

 A 65-year-old man with a past history of DDD pacemaker implantation for advanced atrioventricular block was admitted to our hospital because of hemodynamic collapse. Chest radiography and echocardiogram confirmed the diagnosis of cardiac tamponade occurring 20 days after pacemaker implantation. Pericardial drainage was immediately performed obtaining about 100ml of non-clotting fresh blood. The patient recovered after drainage and was discharged, but he was readmitted because of cardiac tamponade again 55 days after implantation. Echocardiogram showed a large pericardial effusion and an emergency operation was carried out. At surgery, hemorrhagic pericardial effusion and a lead-tip screw that had penetrated through the right atrial appendage were found. Late perforation of the right atrium or right ventricle is an uncommon complication after pacemaker implantation but should be suspected by a general cardiologist. A pacing lead, especially a screw from the lead, may potentially injure the heart. Long-term regular check-up of lead position and pacing status is recommended.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

関連文献

もっと見る

文献を共有