Abstract
Implantable cardioverter-defibrillator (ICD) lead perforation is a rare but serious complication of cardiac device implantation. Subacute (24 h to one month) and delayed (>1 month) presentations of rupture are also rare. Here we report a case of right ventricular perforation by a ventricular ICD lead in a 61-year-old man that was detected four months’ postimplantation. The lead was present out from his chest wall and was palpable beneath the skin.
Highlights
Perforation is usually accompanied by device malfunction, pericardial effusion, and possibly tamponade within the first few hours after implant
Diagnosis is made via transthoracic echocardiogram and chest computed tomography (CT).[3]
We report a case of right ventricular perforation by a ventricular Implantable cardioverter-defibrillator (ICD) lead in a 61-yearold man that was detected four months after implantation
Summary
Implantable cardioverter-defibrillator (ICD) lead perforation is a rare but serious complication of cardiac device implantation with a mean incidence of 0.82%.1 Perforation is usually accompanied by device malfunction, pericardial effusion, and possibly tamponade within the first few hours after implant. Perforation is usually accompanied by device malfunction, pericardial effusion, and possibly tamponade within the first few hours after implant. Subacute (24 h to 1 month) and delayed (41 month) presentations occur. Given its thin wall relative to the rest of the right ventricle, the apex is typically the perforated location.[2] Diagnosis is made via transthoracic echocardiogram and chest computed tomography (CT).[3] Lead extraction is performed by either transvenous manual traction or a hybrid surgical approach, both of which are safe and effective.[4] Pericardiocentesis or a pericardial window is necessary for cardiac tamponade.[4] Here, we report a case of right ventricular perforation by a ventricular ICD lead in a 61-yearold man that was detected four months after implantation
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