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CASE STUDIES

Fracture of Epicardial Resynchronization Lead Caused by Deceleration Injury

Angel L Fernández-González, MD, José B García Bengochea, MD, Joaquín Cortés Laíño, MD1, Amparo Martínez Monzonis, MD2, Sonia Veiras del Río, MD1, Julian Alvarez Escudero, MD1

Division of Cardiac Surgery
1 Division of Anesthesiology
2 Division of Cardiology, University Hospital, University of Santiago de Compostela, Santiago de Compostela, Spain

Angel L Fernández-González, MD, Tel: +34 981 950212, Fax: +34 981 950227, Email: alfg{at}secardiologia.es, Division of Cardiac Surgery, University Hospital, Ave. Choupana, s/n, 15706 Santiago de Compostela, Spain.

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.

Key Words: Accidents • Traffic • Defibrillators • Implantable

Asian Cardiovasc Thorac Ann 2010; 18:77-78
© 2010 by SAGE Publications
DOI: 10.1177/0218492309354388




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