Successful management of late right ventricular perforation after pacemaker implantation
Amir K Bigdeli1, Andres Beiras-Fernandez1, Ingo Kaczmarek1, Christian Kowalski2, Michael Schmoeckel1, Bruno Reichart1
1Department of Cardiac Surgery, 2Department of Anesthesiology, Ludwig-Maximilians University, Munich, Germany
Abstract: Complications of pacemaker implantation include myocardial perforation, venous thrombosis, vegetations of the tricuspid valve or pacing lead, and tricuspid regurgitation. We report a patient presenting with a case of delayed ventricular lead perforation through the right ventricle. The lead was uneventfully extracted under transesophageal echocardiographic observation in the operating room with cardiac surgery backup.
Keywords: pacemaker, lead perforation, complication
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