Paediatric pacemaker

Case contributed by Dr Jeremy Jones

Presentation

Acute and profound cardiac decompensation. Pacemaker and mitral valve replacement several months previously. Septic.

Patient Data

Age: 6 months
Gender: Male
Modality: X-ray

ETT and NGT appropriately sited.  V-A ECMO.  MVR.  Pacemaker.

Cardiomegaly with left-sided air-space opacification consistent with infection or pulmonary oedema (the latter being less likely given the unilaterality).  Small left sided effusion.

Modality: Annotated image

Normal appearance of the pacemaker with no fracture around the pin insertion point.

Case Discussion

When assessing a pacemaker, look at lead position, but also look at the termination points where the leads are inserted.  If there is a fracture of the lead or it has migrated out of the termination point, the pacemaker will not work.

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Case Information

rID: 24112
Case created: 28th Jul 2013
Last edited: 27th Feb 2016
Inclusion in quiz mode: Excluded

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