Key result
Three-dimensional transesophageal echocardiography successfully identified an embolized wire coiled in the right pulmonary artery in a patient with incessant ventricular tachycardia.
Case Report (n=1)
No
Three-dimensional transesophageal echocardiography can successfully identify retained and embolized intravascular wires.
May aid detection of embolized wires in select cases; leaves open routine 3D TEE use in incessant VT.
A 78-year-old man with an implantable cardioverter-defibrillator (ICD) for ischemic cardiomyopathy and prior ventricular tachycardia (VT) ablation presented with abdominal pain and was found to have a small bowel obstruction requiring immediate surgery. His postoperative course was complicated by incessant VT leading to multiple ICD shocks. He was referred to our hospital for repeat VT ablation. TEE revealed a wire coiled in the right pulmonary artery. This is the first reported identification of an embolized wire by transesophageal three-dimensional echocardiography.
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Tokarz et al. (2008) conducted a case report in Retained intravascular wire and incessant ventricular tachycardia (n=1). Three-dimensional transesophageal echocardiography was evaluated on Identification of embolized wire. Three-dimensional transesophageal echocardiography successfully identified an embolized wire coiled in the right pulmonary artery in a patient with incessant ventricular tachycardia.
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