Abstract
Commentary: Right atrium/inferior vena cava junction-the meeting place.
Highlights
In this issue of the Journal, Smith and colleagues[5] present a highly unusual case of right atrial/inferior vena cava junction obstruction from a chronic pacemaker lead
Since the pacemaker was no longer needed by the patient, laser lead extraction and open intracardiac removal of the lead was done using cardiopulmonary bypass and cardioplegic arrest
Using cardioplegic arrest and active suction on the venous cannula, the mass could be seen, resected, and the area patched with bovine pericardium with complete relief of the obstruction
Summary
In this issue of the Journal, Smith and colleagues[5] present a highly unusual case of right atrial/inferior vena cava junction obstruction from a chronic pacemaker lead. From Cardiothoracic Surgery, Houston Methodist DeBakey Heart & Vascular Center, Houston, Tex. Disclosures: The author reported no conflicts of interest. MD, Cardiothoracic Surgery, Houston Methodist DeBakey Heart & Vascular Center, 6550 Fannin, Suite 1401, Houston, TX 77030 (E-mail: mreardon@houstonmethodist.org). A mass obstructing the right atrial inferior vena cava junction requires a multidisciplinary approach to provide optimal evaluation and care.
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