Czy echokardiografia 3D zastąpi tomografię komputerową w diagnostyce perforacji mięśnia sercowego u pacjentów z implantowanymi urządzeniami elektrycznymi?

Abstract

We present two cases of patients who have had myocardial perforation due to implantation of the cardiac stimulating system. The first is an 81-year-old woman with a history of tachy-brady syndrome, in whom despite the suspicion of perforation in 2D echocardiographic (ECHO) imaging, computed tomography did not confirm the problem, and eventually after a few years clinical symptoms associated with perforation were revealed, which was clearly confirmed in the ECHO 3D study. In the second case, in a 62-year-old man with a pacemaker implanted because of atrioventricular block, 3D ECHO allowed for an evident diagnosis. The presented cases aim to draw attention to the potential value of 3D ECHO in the diagnosis of this type of complication.