A 45-year-old woman with dilated cardiomyopathy was admitted for the upgrade of a previously implanted pacemaker. Echocardiography showed intraventricular dyssynchrony and a low ejection fraction (0.35). Treatment with a cardiac resynchronization therapy defibrillator (CRT-D) was selected and the device was implanted. CRT-D interrogation revealed proper function. Following procedure termination, the patient went into cardiac arrest and died despite resuscitation attempts. An autopsy revealed that the medial aspect of the right atrium was pierced by an active lead and that the aorta had a deep lesion, 2 mm in length, on its lateral aspect. We explain the probable pathogenesis of this patient's death.

Aortic perforation due to cardiac resynchronisation therapy defibrillator lead placement: Case report and medicolegal considerations / Grande, A. M.; Fiore, A.; Merlano, M.; Buzzi, F.; Mazzola, A.. - In: JOURNAL OF ARRHYTHMIA. - ISSN 1880-4276. - 31:6(2015), pp. 398-400. [10.1016/j.joa.2015.05.002]

Aortic perforation due to cardiac resynchronisation therapy defibrillator lead placement: Case report and medicolegal considerations

Fiore A.
Secondo
Writing – Original Draft Preparation
;
2015

Abstract

A 45-year-old woman with dilated cardiomyopathy was admitted for the upgrade of a previously implanted pacemaker. Echocardiography showed intraventricular dyssynchrony and a low ejection fraction (0.35). Treatment with a cardiac resynchronization therapy defibrillator (CRT-D) was selected and the device was implanted. CRT-D interrogation revealed proper function. Following procedure termination, the patient went into cardiac arrest and died despite resuscitation attempts. An autopsy revealed that the medial aspect of the right atrium was pierced by an active lead and that the aorta had a deep lesion, 2 mm in length, on its lateral aspect. We explain the probable pathogenesis of this patient's death.
2015
Active lead; Aortic perforation; Cardiac resynchronization therapy defibrillator; Implantable cardioverter defibrillator
01 Pubblicazione su rivista::01a Articolo in rivista
Aortic perforation due to cardiac resynchronisation therapy defibrillator lead placement: Case report and medicolegal considerations / Grande, A. M.; Fiore, A.; Merlano, M.; Buzzi, F.; Mazzola, A.. - In: JOURNAL OF ARRHYTHMIA. - ISSN 1880-4276. - 31:6(2015), pp. 398-400. [10.1016/j.joa.2015.05.002]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1618257
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