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Case Reports
Pericardial tamponade and right-to-left shunt through patent foramen ovale after epicardial pacing-wire removal.
- Bahare Saidi, Farideh Roshanali, Mohammad Ali Yousefnia, and Mohammad Hossein Mandegar.
- Department of Cardiology, Day General Hospital, 1434873111 Tehran, Iran. bahare_saidi@yahoo.com
- Tex Heart Inst J. 2010 Jan 1;37(5):574-5.
AbstractAfter 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.
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