This case highlights a sequence of rare, life-threatening complications from common cardiac procedures in a single young patient, alongside an unintended life-saving benefit of an ICD.
Alerts to rare procedural complications in young patients; leaves open net ICD benefit in complex ablation/PCI cases.
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.
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Daoulah et al. (2013) studied this question.
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