Erosion of a right ventricular pacer lead into the left chest wall

BACKGROUND: Erosion of a pacer lead into the chest wall may result in pericardial effusion with cardiac tamponade. Free rupture into the pleura or mediastinum can result in hypotension and cardiac arrest. CASE PRESENTATION: We report a unique case of a right ventricular pacer lead which eroded throu...

Descripción completa

Detalles Bibliográficos
Autores principales: Herr, Michael J., Cottrell, J. Macy, Garrett Jr., H. Edward, Weiman, Darryl S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538471/
https://www.ncbi.nlm.nih.gov/pubmed/33025306
http://dx.doi.org/10.1186/s40792-020-00999-3
_version_ 1783590877799645184
author Herr, Michael J.
Cottrell, J. Macy
Garrett Jr., H. Edward
Weiman, Darryl S.
author_facet Herr, Michael J.
Cottrell, J. Macy
Garrett Jr., H. Edward
Weiman, Darryl S.
author_sort Herr, Michael J.
collection PubMed
description BACKGROUND: Erosion of a pacer lead into the chest wall may result in pericardial effusion with cardiac tamponade. Free rupture into the pleura or mediastinum can result in hypotension and cardiac arrest. CASE PRESENTATION: We report a unique case of a right ventricular pacer lead which eroded through the right ventricle into the left chest wall and penetrated a rib. The patient presented with a tender chest wall mass without pericardial or pleural effusion. The segment of rib which the pacing lead had penetrated was removed. CONCLUSIONS: The patient tolerated the procedure well and was discharged 1 week after the operation. This case adds to the current literature the justification of removal of temporary and non-functional pacing leads.
format Online
Article
Text
id pubmed-7538471
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-75384712020-10-19 Erosion of a right ventricular pacer lead into the left chest wall Herr, Michael J. Cottrell, J. Macy Garrett Jr., H. Edward Weiman, Darryl S. Surg Case Rep Case Report BACKGROUND: Erosion of a pacer lead into the chest wall may result in pericardial effusion with cardiac tamponade. Free rupture into the pleura or mediastinum can result in hypotension and cardiac arrest. CASE PRESENTATION: We report a unique case of a right ventricular pacer lead which eroded through the right ventricle into the left chest wall and penetrated a rib. The patient presented with a tender chest wall mass without pericardial or pleural effusion. The segment of rib which the pacing lead had penetrated was removed. CONCLUSIONS: The patient tolerated the procedure well and was discharged 1 week after the operation. This case adds to the current literature the justification of removal of temporary and non-functional pacing leads. Springer Berlin Heidelberg 2020-10-06 /pmc/articles/PMC7538471/ /pubmed/33025306 http://dx.doi.org/10.1186/s40792-020-00999-3 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Herr, Michael J.
Cottrell, J. Macy
Garrett Jr., H. Edward
Weiman, Darryl S.
Erosion of a right ventricular pacer lead into the left chest wall
title Erosion of a right ventricular pacer lead into the left chest wall
title_full Erosion of a right ventricular pacer lead into the left chest wall
title_fullStr Erosion of a right ventricular pacer lead into the left chest wall
title_full_unstemmed Erosion of a right ventricular pacer lead into the left chest wall
title_short Erosion of a right ventricular pacer lead into the left chest wall
title_sort erosion of a right ventricular pacer lead into the left chest wall
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538471/
https://www.ncbi.nlm.nih.gov/pubmed/33025306
http://dx.doi.org/10.1186/s40792-020-00999-3
work_keys_str_mv AT herrmichaelj erosionofarightventricularpacerleadintotheleftchestwall
AT cottrelljmacy erosionofarightventricularpacerleadintotheleftchestwall
AT garrettjrhedward erosionofarightventricularpacerleadintotheleftchestwall
AT weimandarryls erosionofarightventricularpacerleadintotheleftchestwall

Ejemplares similares