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Delayed presentation of right ventricular lead perforation following defibrillator implantation: a case report.


ABSTRACT:

Background

Perforation of a device lead through the myocardium is a recognized complication of cardiac device implantation. The associated morbidity and mortality are significant, even though it is a relatively rare complication. Therefore, it is vital for acute clinicians to be aware of the diagnosis and subsequent management of myocardial perforation.

Case summary

We present the case of a 48-year-old woman who presented to the emergency department 1 month following implantable cardioverter-defibrillator implantation with chest and shoulder pain. Initial assessment revealed bilateral pleural effusions and anaemia. Computerized tomography of her chest and abdomen demonstrated a pericardial effusion, but it was transthoracic echocardiography that confirmed the diagnosis of ri

SUBMITTER: Ahlert D 

PROVIDER: S-EPMC6764542 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature