Abstract
We describe the case of a 77-year-old female who underwent dual-chamber permanent pacemaker implantation using two active screw-in leads for complete atrioventricular block. The two active screw-in leads perforated the atrial and ventricular walls causing cardiac tamponade and a left hemothorax associated with ventricular perforation. An emergency sternotomy was performed to facilitate drainage and hemostasis. Although hemothorax due to pacing lead perforation is very rare, such a possibility should always be considered.
Highlights
In 1980, an endocardial atrial screw-in lead was introduced to the market
We describe the case of a 77-year-old female who underwent dual-chamber permanent pacemaker implantation using two active screw-in leads for complete atrioventricular block
We present a case of cardiac perforation induced by two active screw-in atrial and ventricular leads that resulted in hemothorax due to an injury caused by the tip of the ventricular lead
Summary
In 1980, an endocardial atrial screw-in lead was introduced to the market. Since a few complications related to its use have been reported, including lead dislodgment, lead fracture, acute pericarditis, and cardiac perforation [1]. We describe the case of a 77-year-old female who underwent dual-chamber permanent pacemaker implantation using two active screw-in leads for complete atrioventricular block. The two active screw-in leads perforated the atrial and ventricular walls causing cardiac tamponade and a left hemothorax associated with ventricular perforation.
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