title: Right paracardiac mass due to organized pericardial hematoma around retained epicardial pacing wires following aortic valve replacement.
abstract: The use of temporary epicardial pacing wires during cardiac surgery is a routine procedure and has been associated with low morbidity. We describe a rare case of right paracardiac mass due to organized pericardial hematoma with right atrial compression around the epicardial pacing wires left in-situ, presenting three months following aortic valve replacement surgery. The case highlights the fact that such delayed complications can rarely occur around retained epicardial pacing wires following open heart surgery especially in patients on oral anticoagulants. The clinician should be alert to such an occurrence and during follow-up echocardiography always pay attention not only to the valve and ventricular function, but also to the pericardial and extra-pericardial space.
authors.affiliation: Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, India. akapoor65@gmail.com
authors.forename: Aditya
authors.initials: A
authors.lastname: Kapoor
authors.forename: Sanjiv
authors.initials: S
authors.lastname: Syal
authors.forename: Nirmal
authors.initials: N
authors.lastname: Gupta
authors.forename: Archana
authors.initials: A
authors.lastname: Gupta
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000925:Anticoagulants / Q000008:administration & dosage; D001024:Aortic Valve Stenosis / Q000601:surgery*; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D004452:Echocardiography; D004867:Equipment Design; D019918:Heart Valve Prosthesis Implantation; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010496:Pericardium; D013997:Time Factors; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants