https://doi.org/10.4081/monaldi.2021.2048
A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium
Submitted: August 12, 2021
Accepted: September 13, 2021
Published: November 22, 2021
Accepted: September 13, 2021
Abstract Views: 743
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
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.
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How to Cite
Maffè, Stefano, Paola Paffoni, Luca Bergamasco, Eleonora Prenna, Giulia Careri, Emanuela Facchini, Lara Baduena, Nicolò Franchetti Pardo, and Pierfranco Dellavesa. 2021. “A Challenging Pacemaker Implantation in the Presence of a Giant Right Coronary Aneurysm Compressing the Right Atrium”. Monaldi Archives for Chest Disease 92 (2). https://doi.org/10.4081/monaldi.2021.2048.
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