Severe cyanosis in a newborn after transvenous pacing wire placement.
Inadvertent disruption of tricuspid valve apposition by a pacing catheter in a neonate is described. Severe cyanosis due to atrial level shunting resulted, similar to the pathophysiologic state seen in Ebstein's anomaly.
Siwik
E S
ES
Division of Pediatric Cardiology, Rainbow Babies and Children's Hospital, Cleveland, OH 44106-6011, USA.
Van Hare
G F
GF
D002037:Bundle-Branch Block / Q000175:diagnosis; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D003490:Cyanosis / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D007049:Iatrogenic Disease; D007231:Infant, Newborn; D008297:Male; D014262:Tricuspid Valve Insufficiency / Q000209:etiology*