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Identification of a Retained Intravascular Wire by Three‐Dimensional Transesophageal Echocardiography
Author(s) -
Tokarz Stephen R.,
Aktas Mehmet K.,
Kroening Daniel,
Sawyer Thomas J.,
Daubert James P.,
Huang David T.,
Schwarz Karl Q.
Publication year - 2009
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2008.00817.x
Subject(s) - medicine , cardiology , ventricular tachycardia , ablation , implantable cardioverter defibrillator , ischemic cardiomyopathy , cardiomyopathy , radiology , heart failure , ejection fraction
A 78‐year‐old man with an implantable cardioverter‐defibrillator (ICD) for ischemic cardiomyopathy and prior ventricular tachycardia (VT) ablation presented with abdominal pain and was found to have a small bowel obstruction requiring immediate surgery. His postoperative course was complicated by incessant VT leading to multiple ICD shocks. He was referred to our hospital for repeat VT ablation. TEE revealed a wire coiled in the right pulmonary artery. This is the first reported identification of an embolized wire by transesophageal three‐dimensional echocardiography.