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Pericardial tamponade and right-to-left shunt through patent foramen ovale after epicardial pacing-wire removal.


ABSTRACT: After cardiac operations, careful management substantially reduces the risks of negative complications during or after the removal of temporary epicardial pacing wires. Herein, we report the case of a 58-year-old man who, 4 days after undergoing aortic root replacement, developed pericardial tamponade after the removal of temporary epicardial pacing wires. Consequent to the tamponade, a right-to-left shunt developed through a previously undiagnosed patent foramen ovale. The patient underwent emergency surgery to repair myocardium that had ruptured due to the removal of the wires, and he recovered uneventfully.

SUBMITTER: Saidi B 

PROVIDER: S-EPMC2953237 | biostudies-literature | 2010

REPOSITORIES: biostudies-literature

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Pericardial tamponade and right-to-left shunt through patent foramen ovale after epicardial pacing-wire removal.

Saidi Bahare B   Roshanali Farideh F   Yousefnia Mohammad Ali MA   Mandegar Mohammad Hossein MH  

Texas Heart Institute journal 20100101 5


After cardiac operations, careful management substantially reduces the risks of negative complications during or after the removal of temporary epicardial pacing wires. Herein, we report the case of a 58-year-old man who, 4 days after undergoing aortic root replacement, developed pericardial tamponade after the removal of temporary epicardial pacing wires. Consequent to the tamponade, a right-to-left shunt developed through a previously undiagnosed patent foramen ovale. The patient underwent eme  ...[more]

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