Left ventricular free wall perforation by a right ventricular pacemaker lead: a case report.

ABSTRACT:

Background

Lead perforation is one of the major complications of pacemaker implantation, but cases of right ventricular (RV) lead perforation through the septum and left ventricle are rarely reported. We described a rare case of left ventricular (LV) free wall perforation by an RV lead and the management of this complication.

Case summary

An 84-year-old man was admitted with a dual-chamber pacemaker due to pacing failure caused by an RV lead fracture. New lead implantation was performed on the next day, but pacing failure occurred again on the second post-operative day (POD). We found the lead perforation on the fluoroscopy during temporary pacemaker insertion. Computed tomography scan and transthoracic echocardiogram showed that the added lead perforated through both the se

SUBMITTER: Satomi N 

PROVIDER: S-EPMC8010338 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature