Tale of a Wandering Lead: Late Atrial Lead Perforation into Right Lung following Pacemaker Implantation

Cardiac perforation by a pacemaker lead is a rare complication of pacemaker implantation. Presentation can vary from chest pain and shortness of breath to the patient being completely asymptomatic. Diagnosis is usually made by high-resolution computed tomography (HRCT) scan of the chest. Electrocard...

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Detalles Bibliográficos
Autores principales: Saradna, Arjun, Sinha, Ankur, Abduraimova, Madina, Rodriguez, Daniel, Yang, Felix
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5773275/
https://www.ncbi.nlm.nih.gov/pubmed/29375951
http://dx.doi.org/10.7759/cureus.1865
Descripción
Sumario:Cardiac perforation by a pacemaker lead is a rare complication of pacemaker implantation. Presentation can vary from chest pain and shortness of breath to the patient being completely asymptomatic. Diagnosis is usually made by high-resolution computed tomography (HRCT) scan of the chest. Electrocardiograph (EKG) usually shows the absence of a paced rhythm, but it doesn't provide a definitive diagnosis. We describe a case of late cardiac perforation by an atrial pacemaker lead with no signs or symptoms of pericardial tamponade.

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