Constrictive pericarditis associated with patch electrodes of the automatic implantable cardioverter-defibrillator. Chest 1987 Aug;92(2):369-71
Date
08/01/1987Pubmed ID
3301224DOI
10.1378/chest.92.2.369Scopus ID
2-s2.0-0023256499 (requires institutional sign-in at Scopus site) 25 CitationsAbstract
A case of constrictive pericarditis intimately involving patch electrodes of the automatic implantable cardioverter-defibrillator is described. Typical clinical and hemodynamic findings for constrictive pericarditis were noted 15 months after lead installation. Additionally, chest x-ray examination revealed a severe crumpling deformity of the patch electrodes. Thoracotomy was performed and revealed marked fibrous reaction surrounding both surfaces of each patch electrode. Histologic examination revealed fibrous tissue with multinucleated giant cells, consistent with a foreign body reaction. The patient had complete resolution of signs and symptoms of constrictive pericarditis after removal of the patch electrodes and pericardial stripping. Constrictive pericarditis from implanted patch electrodes appears to be an uncommon complication of the automatic implantable cardioverter-defibrillator and should be considered in patients with one or more patch electrodes and other signs of constrictive pericarditis.
Author List
Almassi GH, Chapman PD, Troup PJ, Wetherbee JN, Olinger GNAuthor
G Hossein Almassi MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedElectric Countershock
Electrodes, Implanted
Foreign-Body Reaction
Humans
Male
Pericarditis, Constrictive