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.
Saidi
Bahare
B
Department of Cardiology, Day General Hospital, 1434873111 Tehran, Iran. bahare_saidi@yahoo.com
Roshanali
Farideh
F
Yousefnia
Mohammad Ali
MA
Mandegar
Mohammad Hossein
MH
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