Interv Akut Kardiol. 2007;6(3):110-112

Right ventricle perforation following pacemaker implantation

Jan Petrů, Miloš Táborský, Petr Neužil, Lucie Šedivá, Jindřich Kupec, Jan Škoda
Kardiologické oddělení, Nemocnice Na Homolce, Praha

Myocardial perforation caused by pacing lead is a rare complication of pacemaker implantation. It is associated with the use of both active- and passive-fixation leads, but active fixation can increase the risk of perforation.

We report the patient in whom an active ventricular lead caused perforation of right ventricular wall. The patient was readmitted to hospital on 5th day after pacemaker implantation for complete failure of pacing with symptoms like dizziness and faintness. Afterwards, using echocardiogram and X-rays, diagnosis of perforation was revealed. There were signs of small-sized pericardial effusion around the distal end of lead. Perforating electrode was withdrawn without complications and immediately replaced by new passive-fixation lead.

Keywords: pacing lead, perforation, pericardial effusion

Published: July 1, 2007  Show citation

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Petrů J, Táborský M, Neužil P, Šedivá L, Kupec J, Škoda J. Right ventricle perforation following pacemaker implantation. Interv Akut Kardiol. 2007;6(3):110-112.
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