title: Fracture of epicardial resynchronization lead caused by deceleration injury.
abstract: 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.
authors.affiliation: Division of Cardiac Surgery, University Hospital, Ave. Choupana, s/n, 15706 Santiago de Compostela, Spain. alfg@secardiologia.es
authors.forename: Angel L
authors.initials: AL
authors.lastname: Fernández-González
authors.forename: José B
authors.initials: JB
authors.lastname: García Bengochea
authors.forename: Joaquín
authors.initials: J
authors.lastname: Cortés Laíño
authors.forename: Amparo
authors.initials: A
authors.lastname: Martínez Monzonis
authors.forename: Sonia
authors.initials: S
authors.lastname: Veiras del Río
authors.forename: Julian
authors.initials: J
authors.lastname: Alvarez Escudero
mesh_terms: 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*