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An Operative Case of Inferior Vena Cava Stenosis Due to Fibrosis Around Permanent Pacemaker Leads
Author(s) -
SHIMADA YASUYUKI,
YAKU HITOSHI,
KAWATA MASATOSHI,
OKA KATSUHIKO,
SHUNTOH KEISUKE,
OKANO TAKAHISA,
TAKAHASHI AKIYUKI,
FUKUMOTO ATSUSHI,
HAYASHIDA KYOKO,
KITAMURA NOBUO
Publication year - 2002
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1046/j.1460-9592.2002.00223.x
Subject(s) - medicine , stenosis , regurgitation (circulation) , inferior vena cava , tricuspid stenosis , cardiology , surgery , permanent pacemaker , fibrosis , tricuspid valve
SHIMADA, Y., et al. : An Operative Case of Inferior Vena Cava Stenosis Due to Fibrosis Around Permanent Pacemaker Leads. A 56‐year‐old woman presented with general fatigue, dyspnea on exercise, and hepatomegaly subsequent to secondary implantation of a pacemaker. On admission, cardiac echo examination showed tricuspid valve regurgitation due to a migrated looped lead. At surgery, there was evidence of severe stenosis at both orifices of the superior and inferior vena cavae due to fibrous tissue around the leads. We removed the fibrous tissue, pacing leads, and generator. New leads were anchored onto the epicardium and a generator was inserted under the rectus muscle. The postoperative course was satisfactory and the symptoms disappeared.