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- W1993963268 abstract "Un varón de 55 años portador de un Desfibrilador Automático Implantable (DAI) tras ser diagnosticado de síndrome de Brugada cuatro años antes ingresó en el hospital con un cuadro de disnea y amplio derrame pleural izquierdo. Tras varios episodios de parada cardiorrespiratoria y aplicación de reanimación cardiovascular avanzada se procedió a apertura esternal urgente, observando perforación cardiaca por el electrodo del DAI y tunelización a pleura izquierda, procediendo a su retirada. Desde su introducción en 1980, el DAI constituye un dispositivo eficaz en el tratamiento de arritmias ventriculares malignas y ha disminuido la incidencia de muerte súbita. Sin embargo, el aumento de su utilización también se ha asociado a un incremento en la aparición de complicaciones, algunas de ellas potencialmente letales. Por todo ello debería considerarse la posibilidad de esta rara complicación ante todo paciente portador de DAI y cuadro de insuficiencia respiratoria brusca o hemoptisis masiva no explicable por otras causas. A 55-year-old man with an implantable cardioverterdefibrillator (ICD) placed after diagnosis of Brugada syndrome 4 years earlier was admitted to hospital with dyspnea and a large left pleural effusion. After several episodes of cardiorespiratory arrest and application of advanced cardiac life support measures, an emergency sternotomy was performed. Cardiac and pleural perforation by the ICD lead was observed and the device was removed. Since the ICD was introduced in 1980, it has been effective in the treatment of malignant ventricular arrhythmias and in reducing the incidence of sudden death. Increased use, however, has meant a rise in the number of complications, some of which are potentially fatal. The rare complication we describe should therefore be considered whenever a patient with an ICD develops sudden respiratory failure or massive hemoptysis that cannot be explained by other causes." @default.
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- W1993963268 date "2008-02-01" @default.
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- W1993963268 title "Perforación cardiaca como complicación tardía en paciente portador de un Desfibrilador Automático Implantable" @default.
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- W1993963268 doi "https://doi.org/10.1016/s0034-9356(08)70519-x" @default.
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