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Atrial Lead Perforation: A Case Report
Author(s) -
IRWIN JAMES M.,
GREER G. STEPHEN,
LOWE JAMES E.,
GERMAN LAWRENCE D.,
GILBERT MARCEL R.
Publication year - 1987
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1987.tb04973.x
Subject(s) - medicine , pneumomediastinum , perforation , hemopneumothorax , computed tomographic , right atrium , lead (geology) , pneumothorax , radiology , atrium (architecture) , surgery , computed tomography , cardiology , atrial fibrillation , materials science , geomorphology , metallurgy , punching , geology
We report a patient in whom a chronic atrial lead perforated the right atrium and the right lung. This resulted in an hemopneumothorax and pneumomediastinum which was clearly documented by a chest computerized tomographic scan. The finding of pneumomediastinum should suggest atrial lead perforation. The utility of the chest computerized tomographic scan in diagnosing lead perforation is well illustrated by this case.