Right haemothorax secondary to pulmonary vein laceration following left-sided pacemaker implantation: a case report.

ABSTRACT:

Background

Lead perforation is a rare but potentially fatal complication of cardiac device implantation. Atrial lead perforations, though less common than ventricular ones, can have severe consequences, especially in elderly patients with underlying structural heart disease.

Case summary

An 83-year-old male with amyloid and valvular cardiomyopathy underwent dual-chamber pacemaker implantation for third-degree atrioventricular block following transcatheter aortic valve implantation. The active-fixation atrial lead was positioned on the right atrial free wall. Six hours post-implantation, the patient developed haemodynamic instability. Echocardiography revealed a small pericardial effusion, while pacemaker interrogation showed an increased atrial pacing threshold. Chest imagin

SUBMITTER: Fitouchi S 

PROVIDER: S-EPMC11911154 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature