Open AccessRight ventricular perforation by a passive‐fixation pacemaker lead two weeks after implantation
Author(s) -
Sheikh Azeem S.,
HosseiniArdehali Farazin,
Mazhar Sajjad
Publication year - 2014
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2014.03.005
Subject(s) - medicine , asymptomatic , cardiac tamponade , complication , surgery , lead (geology) , perforation , fixation (population genetics) , tamponade , cardiology , population , materials science , environmental health , geomorphology , punching , metallurgy , geology
Myocardial perforation is a rare complication of permanent pacemaker implantation. While most of the perforations occur at the time of implantation or within the first 24 h, delayed myocardial perforations are very rare. The clinical course is extremely variable with some patients presenting completely asymptomatic, while others can develop cardiac tamponade and haemodynamic instability. We report an unusual case of a subacute ventricular perforation caused by a passive‐fixation lead two weeks after implantation and we successfully managed to extract the lead under local anaesthesia, without the patient undergoing surgery, as recommended in the previously published reports.