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Unintended Harm and Benefit of the Implantable Defibrillator in an Unfortunate 19-Year-Old Male: Featuring a Sequence of Rare Life-threatening Complications of Cardiac Procedures
Authors:Amin Daoulah  Ali Ocheltree  Amir Lotfi  Sara Ocheltree  Alawi A. Alsheikh-Ali  Abdul-Karim Al-Habib  Osama El-Sayed  Ali Haneef
Affiliation:1. Section of Adult Cardiology, Cardiovascular Department, King Faisal Specialist Hospital & Research Center, Jeddah, Kingdom of Saudi Arabia.;2. Division of Cardiology, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts.;3. Heart and Vascular Institute , Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.;4. Division of Cardiothoracic Surgery and Cardiac Surgery Intensive Care Unit, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Abstract:All procedures have inherent risk. Our patient endured a sequence of rare life-threatening complications from commonly preformed procedures. The sequence of these complications was; large pericardial effusion post implantable cardioverter-defibrillator (ICD) implantation with echocardiographic signs of tamponade, left main narrowing post radiofrequency ablation, and late stent thrombosis post coronary intervention with a bare metal stent. All these occurred to one unfortunate young man. Furthermore, our patient demonstrated an unintended benefit of ICD which saved his life.
Keywords:Implantable cardioverter-defibrillator   radiofrequency ablation   coronary injury   pericardial effusion
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