Fracture of epicardial resynchronization lead caused by deceleration injury.
A 50-year-old man with heart failure, systolic dysfunction, and abnormal septal motion underwent ventricular resynchronization. Postoperative clinical and echocardiographic improvement was observed. Several months later, he complained of worsening functional class after a traffic accident. Pacing lead fracture was diagnosed. After replacing the lead, improvement of clinical condition and ventricular parameters was achieved. The role of seat belts in causing dysfunction of pacemakers and resynchronization devices after deceleration injury is discussed.
Fernández-González
Angel L
AL
Division of Cardiac Surgery, University Hospital, Ave. Choupana, s/n, 15706 Santiago de Compostela, Spain. alfg@secardiologia.es
García Bengochea
José B
JB
Cortés Laíño
Joaquín
J
Martínez Monzonis
Amparo
A
Veiras del Río
Sonia
S
Alvarez Escudero
Julian
J
D000063:Accidents, Traffic; D001281:Atrial Fibrillation / Q000209:etiology; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D003654:Deceleration / Q000009:adverse effects*; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D004868:Equipment Failure; D005500:Follow-Up Studies; D006321:Heart / Q000000981:diagnostic imaging; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D011859:Radiography; D012622:Seat Belts / Q000009:adverse effects*