Lead Perforation Into the Left Internal Mammary Artery Causing Circulatory Collapse After Pacemaker Insertion

A 66-year-old woman underwent a pacemaker implantation following a symptomatic pause. The pacemaker lead inadvertently punctured the ventricle during implantation, penetrating through to the left internal mammary artery, causing slow hemorrhage. There was subsequent circulatory collapse with shock....

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Detalles Bibliográficos
Autores principales: Kumar, Rajesh, Kumar, Jathinder, Ullah, Ihsan, Edroos, Sadat Ali, Matiullah, Sajjad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Imaging Vignette
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8897049/
https://www.ncbi.nlm.nih.gov/pubmed/35257110
http://dx.doi.org/10.1016/j.jaccas.2022.01.012
Descripción
Sumario:A 66-year-old woman underwent a pacemaker implantation following a symptomatic pause. The pacemaker lead inadvertently punctured the ventricle during implantation, penetrating through to the left internal mammary artery, causing slow hemorrhage. There was subsequent circulatory collapse with shock. We describe this rare yet life-threatening condition. (Level of Difficulty: Intermediate.)

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