A wrong electrode placement

Padilla-Morales, V.; Domínguez, A.

doi:10.1016/j.redare.2018.01.007

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Her only history of note was high blood pressure and hypothyroidism. A temporary pacemaker was implanted via the right subclavian artery under radioscopic vision and the patient was admitted to the PACU. Postoperative evolution was uneventful, despite the need for a high pacing threshold. A follow-up anteroposterior chest radiograph was performed that showed the pacemaker electrode lodged in the pericardial sac (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). A subsequent chest ultrasound and computerised axial tomography study showed that the pacemaker cable had crossed the superior vena cava and entered the pericardial sac, causing moderate pericardial effusion without collapse of right side cavities. A follow-up ultrasound revealed an increase in pericardial effusion with onset of right ventricular collapse. 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Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 65. Issue 3.

Pages 180 (March 2018)

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