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BMJ Case Reports 2012; doi:10.1136/bcr.12.2011.5353
  • Unusual association of diseases/symptoms

What could be the cause of late syncope after pacemaker implantation?

  1. Mahmood Eftekharzadeh3
  1. 1Cardiac Surgery Department, Day General Hospital, Tehran, Iran, Islamic Republic of Iran
  2. 2Echo Lab, Day General Hospital, Tehran, Iran, Islamic Republic of Iran
  3. 3Electrophysiology Department, Day General Hospital, Tehran, Iran, Islamic Republic of Iran
  1. Correspondence to Dr Farideh Roshanali, farideh_roshanali{at}yahoo.com

Summary

A 21-year-old man who had suffered an episode of complete heart block 2 months earlier and thus undergone pacemaker implantation presented with syncope. Echocardiography showed cardiac tamponade and raised the suspicion of lead penetration. The effusion was drained. Multi-sliced CT scan confirmed that the right aspect of the pacemaker wire was extracardiac, causing the cardiac tamponade.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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