Right Heart Failure in a Cardiac Allograft Following Remote Transvenous Lead Extraction

Martin van Zyl; Alan M Sugrue; Samuel J Asirvatham; Gregory W Barsness

doi:10.1016/j.jaccas.2019.08.025

Right Heart Failure in a Cardiac Allograft Following Remote Transvenous Lead Extraction

JACC Case Rep. 2019 Oct 30;1(4):573-575. doi: 10.1016/j.jaccas.2019.08.025. eCollection 2019 Dec.

Authors

Martin van Zyl¹, Alan M Sugrue¹, Samuel J Asirvatham¹, Gregory W Barsness¹

Affiliation

¹ Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Abstract

A heart transplant recipient presented with right heart failure. He had a history of implantable cardioverter-defibrillator implantation and extraction before undergoing heart transplantation 4 years earlier. A large fistula was found between the left subclavian artery and vein. Following successful percutaneous fistula closure, symptoms and right ventricular function improved. (Level of Difficulty: Advanced.).

Keywords: AVF, arteriovenous fistula; ICD, implantable cardioverter defibrillator; acute heart failure; cardiac transplant; electrophysiology; right ventricle; right-sided catheterization.

Publication types

Case Reports