1/6. Late presentation of retained intracardiac ice pick with papillary muscle injury.An unusual case of a penetrating intracardiac injury is described in a 16-year-old boy who presented with a retained 14-cm segment of an ice pick that went unnoticed by the patient for 4 days. The ice pick had lacerated the anterior papillary muscle of the left ventricle causing avulsion of its tip and prolapse of the anterior leaflet of the mitral valve resulting in severe mitral regurgitation. The urgency for surgical correction of the traumatic mitral valve injury at the time of extraction of the intracardiac foreign body through a single-stage approach versus a two-stage approach is discussed.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/6. Delayed lead perforation: a disturbing trend.BACKGROUND: Delayed lead perforation (occurring more than 1 month after implantation) is a rare complication. Its pathophysiology and optimal management are currently unclear. methods: Three cases of delayed lead perforation (6-10 month) were identified in patients with low-profile active fixation leads. RESULTS: All cases presented in a subacute fashion with pleuritic chest pain with confirmatory chest x-ray and device interrogation. Given the potential complications of a perforated lead, all cases had the lead extracted under TEE observation with cardiac surgery backup in the operating room. All patients tolerated extraction without complication. CONCLUSION: Based on these cases, we recommend a management scheme for patients who present with delayed lead perforation.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
3/6. Kirschner wire migration from the right sternoclavicular joint to the heart: a case report.Presented here is a rare case in which Kirschner wires migrated from the right sternoclavicular joint to the heart. A 29-year-old man suffering from sternoclavicular instability due to a motorcycle accident received surgical fixation with Kirschner wires. Six months after the surgery, the chest x-ray showed migration of the 3 broken wires to the anterior mediastinum and to the right hemithorax. The patient was asymptomatic and was scheduled for elective surgical extraction of the migrating wires because of the potential danger of injuring the mediastinal organs.During the surgery, the intracardiac location of all wires was discovered,and the wires were successfully extracted from the extracorporeal circulation. This rare and potentially lethal complication is discussed.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
4/6. Plastic bullet arterial embolization following gunshot injury to the heart. Case report and review of the literature.A plastic bullet penetrating the heart through the right ventricle embolized to the right profunda. Suture of the heart and extraction of the bullet resulted in uneventful recovery. The literature revealed 21 instances of embolization following proven heart penetration, in two cases through the right ventricle.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
5/6. Trans-jugular extraction of bullet embolus to the heart.Bullet emboli to the heart are rare and are typically treated by operative extraction through a median sternotomy and cardiotomy. This report details the case of an 18-year-old male who sustained two gunshot wounds, one of which lodged in his left renal vein. At laparotomy, the bullet embolized to the right atrium via the inferior vena cava. Under fluoroscopic guidance the bullet was retrieved with a snare introduced percutaneously through the right internal jugular vein. sternotomy and possible cardiopulmonary bypass were avoided.- - - - - - - - - - ranking = 5keywords = extraction (Clic here for more details about this article) |
6/6. Percutaneous extraction of a fractured, exposed atrial "J" lead retention wire.The recent identification of fracturing of the retention wire in the Telectronics atrial lead, models 329-701 and 330-801, and the report of death due to cardiac tamponade caused by aortic puncture resulting from protrusion of the retention wire, necessitates fluoroscopic screening of these patients and the explantation of all leads identified to have the component failure. We present in this paper a percutaneous alternative to lead explantation in patients with protrusion of the retention wire through the polyurethane insulation and with an otherwise properly functioning atrial lead.- - - - - - - - - - ranking = 4keywords = extraction (Clic here for more details about this article) |