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Delayed Pericarditis Associated with an Implantable Cardioverter Defibrillator Implantation Using an Active‐Fixation Atrial Lead
Author(s) -
KONO KOICHI,
TODOROKI MASAKATSU,
KARASAWA TSUYOSHI,
ITO ITARU,
TADOKORO KAZUYOSHI,
SHINBO GORO,
HORINAKA SHIGEO,
MATSUOKA HIROAKI,
MOCHIZUKI YOSHIHIKO
Publication year - 2008
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.1540-8159.2008.01053.x
Subject(s) - medicine , cardiology , pericarditis , implantable cardioverter defibrillator , pericardium , implant , atrium (architecture) , lead (geology) , tachycardia , surgery , atrial fibrillation , geomorphology , geology
A 57‐year‐old man with nonischemic dilated cardiomyopathy and ventricular tachycardia underwent routine dual chamber implantable cardioverter defibrillator (ICD) implantation. An active‐fixation atrial lead was positioned at the lateral wall of the right atrium. He subsequently developed chronic severe pericarditis. Histopathological findings of the pericardium showed mechanical stimulus localized pericarditis. This case demonstrates that contact of the screw of the active‐fixation atrial lead with the pericardium may be a possible mechanism for pericarditis after pacemaker/ICD implantation.