Pericardial tamponade and right-to-left shunt through patent foramen ovale after epicardial pacing-wire removal.
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.
Department of Cardiology, Day General Hospital, 1434873111 Tehran, Iran. bahare_saidi@yahoo.com
Bahare
B
Saidi
Farideh
F
Roshanali
Mohammad Ali
MA
Yousefnia
Mohammad Hossein
MH
Mandegar
D000328:Adult; D002304:Cardiac Pacing, Artificial; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D020878:Device Removal / Q000009:adverse effects*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004867:Equipment Design; D054092:Foramen Ovale, Patent / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D012086:Reoperation; D016896:Treatment Outcome