Cardiac Strangulation in Children: Asymptomatic Complication of Epicardial Pacing

Olga Yu Dzhaffarova; Liliya I Svintsova; Elena O Kartofeleva; Sergey N Krivolapov; Evgeny A Svyazov; Irina V Plotnikova; Sergey V Popov

doi:10.1016/j.jaccas.2022.05.014

Cardiac Strangulation in Children: Asymptomatic Complication of Epicardial Pacing

JACC Case Rep. 2022 Jun 22;4(14):857-861. doi: 10.1016/j.jaccas.2022.05.014. eCollection 2022 Jul 20.

Authors

Olga Yu Dzhaffarova¹, Liliya I Svintsova¹, Elena O Kartofeleva¹, Sergey N Krivolapov¹, Evgeny A Svyazov¹, Irina V Plotnikova¹, Sergey V Popov¹

Affiliation

¹ Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia.

Abstract

Cardiac strangulation is a rare but potentially life-threatening mechanical complication associated with epicardial pacemaker implantation in growing children. This article presents 2 case reports of left ventricular strangulation in 4- and 3-year-old children who had an epicardial pacemaker system implanted at an early age. (Level of Difficulty: Advanced.).

Keywords: CHB, complete heart block; CS, cardiac strangulation; DDDR, dual chamber rate adaptive pacing mode; ECG, electrocardiogram; LV, left ventricle; RA, right atrium; cardiac pacing; complication; pediatric surgery.

Publication types

Case Reports