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Case Reports
. 2022 Apr 6;4(7):443-448.
doi: 10.1016/j.jaccas.2022.03.001.

Rare Complications of Pseudoaneurysms of the Superior Vena Cava After Transvenous Lead Extraction

Takahiro Hayashi  1 , Kazuki Tobita  1 , Hirokazu Miyashita  1 , Noriaki Moriyama  1 , Masato Murakami  1 , Shigeru Saito  1
Affiliations
Case Reports

Rare Complications of Pseudoaneurysms of the Superior Vena Cava After Transvenous Lead Extraction

Takahiro Hayashi et al. JACC Case Rep. .

Abstract

Superior vena cava laceration has been reported as a catastrophic complication that requires immediate surgical intervention during transvenous lead extraction. Hereby, we present 2 cases of pseudoaneurysm formation at the superior vena cava after transvenous lead extraction, which were successfully managed without invasive treatment. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; RA, right atrial; RV, right ventricular; SVC, superior vena cava; TLE, transvenous lead extraction; complication; lead extraction; superior vena cava laceration.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Preoperative Chest Radiograph of Case 1
Figure 2
Figure 2
Preoperative Chest Computed Tomography of Case 1 (A) Axial view. (B) Coronal view.
Figure 3
Figure 3
Chest Radiograph 1 Day After the Operation The white arrow implies an enlarged superior vena cava.
Figure 4
Figure 4
Chest Computed Tomography 1 Day After the Operation (A) Axial view. A white arrow shows superior vena cava pseudoaneurysm formation. (B) Coronal view. The white arrows imply superior vena cava pseudoaneurysm formation.
Figure 5
Figure 5
Chest Radiograph 2 Months After the Operation The white arrow implies a shrinking pseudoaneurysm.
Figure 6
Figure 6
Chest Computed Tomography 2 Months After the Operation (A) Axial view. (B) Coronal view. The white arrows show the pseudoaneurysm had shrunk.
Figure 7
Figure 7
Preoperative Chest Radiograph of Case 2
Figure 8
Figure 8
Preoperative Chest Computed Tomography of Case 2 (A) Axial view. (B) Coronal view.
Figure 9
Figure 9
Chest Computed Tomography After Lead Extraction (A) Axial view. (B) Coronal view. The white arrows imply superior vena cava pseudoaneurysm formation.
Figure 10
Figure 10
Chest Computed Tomography 3 Months After the Operation (A) Axial view. (B) Coronal view. The white arrows show pseudoaneurysm had shrunk.
See this image and copyright information in PMC

References

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