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Delayed presentation of right ventricular lead perforation following defibrillator implantation: a case report.
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ABSTRACT: Background
Perforation of a device lead through the myocardium is a recognized complication of cardiac device implantation. The associated morbidity and mortality are significant, even though it is a relatively rare complication. Therefore, it is vital for acute clinicians to be aware of the diagnosis and subsequent management of myocardial perforation.Case summary
We present the case of a 48-year-old woman who presented to the emergency department 1 month following implantable cardioverter-defibrillator implantation with chest and shoulder pain. Initial assessment revealed bilateral pleural effusions and anaemia. Computerized tomography of her chest and abdomen demonstrated a pericardial effusion, but it was transthoracic echocardiography that confirmed the diagnosis of right ventricular perforation. Urgent system revision was undertaken.Discussion
This case highlights the importance of clinical suspicion and the use of diagnostic echocardiography as an important diagnostic tool in symptomatic patient's post-cardiac device implantation.
SUBMITTER: Ahlert D
PROVIDER: S-EPMC6764542 | biostudies-literature | 2019 Sep
REPOSITORIES: biostudies-literature
Publications
Delayed presentation of right ventricular lead perforation following defibrillator implantation: a case report.
European heart journal. Case reports 20190722 3
<h4>Background</h4>Perforation of a device lead through the myocardium is a recognized complication of cardiac device implantation. The associated morbidity and mortality are significant, even though it is a relatively rare complication. Therefore, it is vital for acute clinicians to be aware of the diagnosis and subsequent management of myocardial perforation.<h4>Case summary</h4>We present the case of a 48-year-old woman who presented to the emergency department 1 month following implantable c ...[more]