Version 1
: Received: 29 September 2024 / Approved: 30 September 2024 / Online: 30 September 2024 (15:14:22 CEST)
How to cite:
Wassef, N. Z. K.; Ibrahim, M.; Botrous, C.; Anos, A.; Hogrefe, K.; Pathiraja, J. Dual Chamber Pacemaker Implant in Coronary Sinus with Several Complications. Preprints2024, 2024092416. https://doi.org/10.20944/preprints202409.2416.v1
Wassef, N. Z. K.; Ibrahim, M.; Botrous, C.; Anos, A.; Hogrefe, K.; Pathiraja, J. Dual Chamber Pacemaker Implant in Coronary Sinus with Several Complications. Preprints 2024, 2024092416. https://doi.org/10.20944/preprints202409.2416.v1
Wassef, N. Z. K.; Ibrahim, M.; Botrous, C.; Anos, A.; Hogrefe, K.; Pathiraja, J. Dual Chamber Pacemaker Implant in Coronary Sinus with Several Complications. Preprints2024, 2024092416. https://doi.org/10.20944/preprints202409.2416.v1
APA Style
Wassef, N. Z. K., Ibrahim, M., Botrous, C., Anos, A., Hogrefe, K., & Pathiraja, J. (2024). Dual Chamber Pacemaker Implant in Coronary Sinus with Several Complications. Preprints. https://doi.org/10.20944/preprints202409.2416.v1
Chicago/Turabian Style
Wassef, N. Z. K., Kai Hogrefe and Janaka Pathiraja. 2024 "Dual Chamber Pacemaker Implant in Coronary Sinus with Several Complications" Preprints. https://doi.org/10.20944/preprints202409.2416.v1
Abstract
Permanent pacemaker implantation is a low-risk procedure. However, complications may occur with a rate of around 3-8%. We present a case where initial implantation resulted in complications that could have been avoided by meticulous assessment of lead position in different projections and early post procedure X-ray that would have delineated other serious complications.
An eighty-seven-year-old female patient presented with syncope and documented high grade atrioventricular block. She had a dual chamber pacemaker implant, after which she had another episode of syncope with loss of pacing capture. This was rectified by ventricular lead repositioning that resulted in consistent ventricular pacing. A week later, she was re-admitted with worsening dyspnoea and fatigue. Chest X-ray (CXR) and CT revealed haemopericardium and haemothorax and she was treated with a chest drain and conservatively managed for pericardial effusion. She had a slow recovery and was discharged home after treatment with no further symptoms during follow up in pacing clinic. This case emphasises the importance of meticulous assessment during and after pacemaker implantation.
Keywords
Complications; Pacing
Subject
Medicine and Pharmacology, Cardiac and Cardiovascular Systems
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
