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Retrieval of the retained intervention guide wire from deltoid muscle- A rare and delayed presentation post cardiac resynchronization therapy (CRT-D) lead replacement.
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  • Vimal Yadav,
  • Shailesh Jhanwar,
  • Brij Goyal,
  • Surendra PatelOrcid
Vimal Yadav
Apex Hospital, Jaipur, Rajasthan, India
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Shailesh Jhanwar
Apex Hospital, Jaipur, Rajasthan, India
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Brij Goyal
Apex Hospital, Jaipur, Rajasthan, India
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Surendra Patel
Orcid
All India Institute of Medical Sciences Jodphur
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Peer review status:ACCEPTED

28 Jun 2020Submitted to Journal of Cardiac Surgery
29 Jun 2020Submission Checks Completed
29 Jun 2020Assigned to Editor
29 Jun 2020Reviewer(s) Assigned
05 Jul 2020Review(s) Completed, Editorial Evaluation Pending
05 Jul 2020Editorial Decision: Revise Major
07 Jul 20201st Revision Received
09 Jul 2020Submission Checks Completed
09 Jul 2020Assigned to Editor
09 Jul 2020Reviewer(s) Assigned
17 Jul 2020Review(s) Completed, Editorial Evaluation Pending
17 Jul 2020Editorial Decision: Accept

Abstract

Background and Aims- A fracture and retention of guidewire after cardiac resynchronization therapy device implant has not been reported so far, although it is an uncommon but known complication during cardiac interventions like percutaneous coronary interventions and other cardiac catheterization procedures. Methods- A 53 years old female patient presented to us, who had been diagnosed as a case of dilated cardiomyopathy with severe left ventricular dysfunction and underwent cardiac resynchronization therapy (CRT-D) device implant three years back and subsequently underwent lead replacement 6 months back due to lead dysfunction, with severe pain over the left arm and shoulder for last 1-2 days. On evaluation, it was found that she had a coronary guidewire which might have fractured and retained inadvertently in previous surgical procedure and has caused her symptoms that might have been aggravated by the movements of her arm. Emergency surgical exploration was done and the guidewire which was impacted in deltoid muscle was removed. Results, and Conclusion- We are reporting the case due to a very unlikely and unusual delayed presentation of retained intervention guide-wire post cardiac resynchronization therapy, retrieved from left deltoid muscle.