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Cardiology
Implantable cardioverter defibrillator as a treatment for massive left ventricular fibroma-induced ventricular arrhythmia in a child
In Su Choi, Hyung Ki Jeong, Hyung Wook Park, Yi-Seul Kim
Acute Crit Care. 2021;36(2):164-168.   Published online May 28, 2021
DOI: https://doi.org/10.4266/acc.2020.00269
  • 3,931 View
  • 107 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract PDF
Pediatric cardiac tumors are rare. Among these, cardiac fibroma is the second most common. Its clinical manifestations depend on size and location of the tumor and include arrhythmia or obstruction to blood flow. Symptomatic cardiac fibroma is generally treated with surgical resection or cardiac transplantation. We present the case of a 12-year-old boy with a lethal ventricular arrhythmia induced by a remnant tumor that was previously partially resected. An implantable cardioverter defibrillator was inserted as the arrhythmia was resistant to medical treatment. He was discharged in stable condition with an implantable cardioverter defibrillator generator and followed up in the outpatient clinic.

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  • Lipid emulsion attenuates propranolol-induced early apoptosis in rat cardiomyoblasts
    Seong-Ho Ok, Seung Hyun Ahn, Soo Hee Lee, Hyun-Jin Kim, Gyujin Sim, Jin Kyeong Park, Ju-Tae Sohn
    Human & Experimental Toxicology.2022; 41: 096032712211108.     CrossRef
Cardiology
Thrombosis in the Left Ventricle after Implantable Cardioverter-Defibrillator Implantation: A Rare Cause of Systemic Thromboembolism
Hee Chan Jung, Woo Baek Chung, Man Young Lee
Korean J Crit Care Med. 2014;29(1):27-31.   Published online February 28, 2014
DOI: https://doi.org/10.4266/kjccm.2014.29.1.27
  • 5,315 View
  • 74 Download
AbstractAbstract PDF
This report describes a case of systemic thromboembolism caused by left ventricular (LV) thrombosis that developed after placement of an implantable cardioverter-defibrillator (ICD). A 27-year-old male patient was diagnosed with idiopathic dilated cardiomyopathy and ventricular tachycardia, and underwent ICD implantation for the primary prevention of sudden cardiac death. Two weeks after ICD implantation, the patient experienced renal infarction. Transthoracic echocardiography revealed a mobile thrombus at the LV apex, and automated function imaging demonstrated deteriorated LV function after ICD implantation. The RV was not placed by ICD and the mechanical force which was occurred by ICD that led to induced dyssynchronous motion of the LV apex may have resulted in a systemic thromboembolism.

ACC : Acute and Critical Care