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T E Martyak

Publications and source records attributed to T E Martyak.

4 recordsLinked to original sources

Right atrial and pulmonary thromboembolism mimicking unstable angina.

Pulmonary thromboembolism is a potentially fatal disease characterized by a highly variable clinical presentation. Mortality rises dramatically with right atrial thromboembolism. In our case right atrial and pulmonary thromboembolism mimicked unstable angina. A high index of suspicion and early use of echocardiography can lead to the prompt diagnosis and timely treatment of this condition. Although the optimal treatment remains controversial, prompt therapeutic intervention is mandated by an otherwise poor prognosis.

Angina, Unstable

Self-entwinement of an active fixation pacemaker electrode.

We report a case in which an active fixation atrial lead tip became entwined on the proximal lead body during implantation. It was not possible to disengage the tip or to remove the resultant lead loop atraumatically through the insertion site. Removal of the lead was accomplished using a Dotter intravascular snare inserted via a femoral vein, with subsequent successful implantation of a new lead. This unusual technique-related complication emphasizes the need for meticulous fluoroscopic visualization during lead manipulation.

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