Successful Reimplantation of a Passive-Fixation Ventricle Lead Perforating the Chest Wall

  • F. Kur
  • A. Beiras-Fernandez
  • A. Kowert
  • M. Schmoeckel
  • B. Reichart

Abstract

Delayed perforation of a passive fixed pacemaker lead is a rare complication after pacemaker implantation and is associated with increased morbidity and mortality. We report the case of an 82-year-old patient who presented with a delayed perforation of the right heart wall, the pericardium, and the chest wall by a passive-fixation ventricular lead 14 months after pacemaker implantation. The lead was uneventfully extracted transvenously and repositioned in the right ventricle with good pacing and sensing.

References

Hirschl DA, Jain VR, Spindola-Franco H, Gross JN, Haramati LB. 2007. Prevalence and characterization of asymptomatic pacemaker and ICD lead perforation on CT. Pacing Clin Electrophysiol 30:28-32.\nKiviniemi MS, Pirnes MA, Eränen JK, Kettunen RV, Hartikainen JE. 1999. Complications related to permanent pacemaker therapy. Pacing Clin Electrophysiol 22:711-20.\nLopes LR, Brandão L, Carrageta M. 2007. Single-step transvenous extraction of a passive fixation lead with delayed perforation of the right ventricle. Europace 9:672-3.\nSelcuk H, Selcuk MT, Maden O, et al. 2006. Uncomplicated heart and lung perforation by a displaced ventricular pacemaker lead: a case report. Pacing Clin Electrophysiol 29:429-30.\nEllenbogen KA, Wood MA, Shepard RK. 2002. Delayed complications following pacemaker implantation. Pacing Clin Electrophysiol 25:1155-8.\n
Published
2008-06-26
How to Cite
Kur, F., Beiras-Fernandez, A., Kowert, A., Schmoeckel, M., & Reichart, B. (2008). Successful Reimplantation of a Passive-Fixation Ventricle Lead Perforating the Chest Wall. The Heart Surgery Forum, 11(3), E137-E139. https://doi.org/10.1532/HSF98.20071163
Section
Articles

Most read articles by the same author(s)