A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium
Giant coronary artery aneurysm is an uncommon disease, treated with surgical intervention or percutaneous coil embolization. A thrombosed aneurysm can cause extrinsic compression on the cardiac chambers, with potential hemodynamic effects and may cause problems when we need to implant a cardiac dev...
Guardado en:
| Autores principales: | , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
PAGEPress Publications
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/d6b2984a18f8498d844dffe52420953f |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:d6b2984a18f8498d844dffe52420953f |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:d6b2984a18f8498d844dffe52420953f2021-11-23T07:44:34ZA challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium10.4081/monaldi.2021.20481122-06432532-5264https://doaj.org/article/d6b2984a18f8498d844dffe52420953f2021-11-01T00:00:00Zhttps://www.monaldi-archives.org/index.php/macd/article/view/2048https://doaj.org/toc/1122-0643https://doaj.org/toc/2532-5264 Giant coronary artery aneurysm is an uncommon disease, treated with surgical intervention or percutaneous coil embolization. A thrombosed aneurysm can cause extrinsic compression on the cardiac chambers, with potential hemodynamic effects and may cause problems when we need to implant a cardiac device. We present a case of difficult pacemaker implantation in a patient with 3 syncopes, first-degree AV block and complete left bundle branch block on electrocardiogram. The patient presented a giant aneurysm of the right coronary artery (85 x 90 mm), thrombosed, with right atrial compression. The pacemaker implantation was hampered by the difficulty of passing the lead through the compressed right atrium; indeed, only with simultaneous echocardiographic and fluoroscopic guidance, was it possible to complete the procedure. This case demonstrates the utility of echocardiogram, in particular settings, in cardiac stimulation procedures. Stefano MaffèPaola PaffoniLuca BergamascoEleonora PrennaGiulia CareriEmanuela FacchiniLara BaduenaFranchetti Pardo NicolòDellavesa PierfrancoPAGEPress PublicationsarticlePacemaker implantationGiant coronary aneurysmechocardiographyMedicineRENMonaldi Archives for Chest Disease (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Pacemaker implantation Giant coronary aneurysm echocardiography Medicine R |
| spellingShingle |
Pacemaker implantation Giant coronary aneurysm echocardiography Medicine R Stefano Maffè Paola Paffoni Luca Bergamasco Eleonora Prenna Giulia Careri Emanuela Facchini Lara Baduena Franchetti Pardo Nicolò Dellavesa Pierfranco A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium |
| description |
Giant coronary artery aneurysm is an uncommon disease, treated with surgical intervention or percutaneous coil embolization. A thrombosed aneurysm can cause extrinsic compression on the cardiac chambers, with potential hemodynamic effects and may cause problems when we need to implant a cardiac device. We present a case of difficult pacemaker implantation in a patient with 3 syncopes, first-degree AV block and complete left bundle branch block on electrocardiogram. The patient presented a giant aneurysm of the right coronary artery (85 x 90 mm), thrombosed, with right atrial compression. The pacemaker implantation was hampered by the difficulty of passing the lead through the compressed right atrium; indeed, only with simultaneous echocardiographic and fluoroscopic guidance, was it possible to complete the procedure. This case demonstrates the utility of echocardiogram, in particular settings, in cardiac stimulation procedures.
|
| format |
article |
| author |
Stefano Maffè Paola Paffoni Luca Bergamasco Eleonora Prenna Giulia Careri Emanuela Facchini Lara Baduena Franchetti Pardo Nicolò Dellavesa Pierfranco |
| author_facet |
Stefano Maffè Paola Paffoni Luca Bergamasco Eleonora Prenna Giulia Careri Emanuela Facchini Lara Baduena Franchetti Pardo Nicolò Dellavesa Pierfranco |
| author_sort |
Stefano Maffè |
| title |
A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium |
| title_short |
A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium |
| title_full |
A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium |
| title_fullStr |
A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium |
| title_full_unstemmed |
A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium |
| title_sort |
challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium |
| publisher |
PAGEPress Publications |
| publishDate |
2021 |
| url |
https://doaj.org/article/d6b2984a18f8498d844dffe52420953f |
| work_keys_str_mv |
AT stefanomaffe achallengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT paolapaffoni achallengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT lucabergamasco achallengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT eleonoraprenna achallengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT giuliacareri achallengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT emanuelafacchini achallengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT larabaduena achallengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT franchettipardonicolo achallengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT dellavesapierfranco achallengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT stefanomaffe challengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT paolapaffoni challengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT lucabergamasco challengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT eleonoraprenna challengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT giuliacareri challengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT emanuelafacchini challengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT larabaduena challengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT franchettipardonicolo challengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium AT dellavesapierfranco challengingpacemakerimplantationinthepresenceofagiantrightcoronaryaneurysmcompressingtherightatrium |
| _version_ |
1718416853811855360 |