Right Ventricular Free Wall Perforation without Tamponade: A Rare Complication of Permanent Pacemaker Lead Placement
Journal Title: Journal of Clinical Cardiology and Cardiac Therapy - Year 2016, Vol 1, Issue 1
Abstract
Ventricular free wall rupture after implantation of a permanent pacemaker (PPM) is a rare condition that can lead to cardiac tamponade. The rupture usually occurs during the first lead placement, so it is worthy of notice. If cardiac tamponade is seen right after the placement, prompt drainage is a lifesaving intervention. Fatal results may be seen due to ventricular perforation. Corticosteroid usage, long stretched pacemaker lead, bipolar electrodes or high body mass index are the most common causes of the perforation. When perforation is determined immediately after the lead placement, new leads should be placed under echocardiography rather than withdrawing. Here we present a patient with free wall rupture caused by the former internal PPM lead that we took out during external pacemaker lead placement during surgery.
Authors and Affiliations
Serkan Burc Deser, Mustafa Kemal Demirag
Keywords
Related Articles
- EP ID EP249306
- DOI 10.28967/jccct.2016.01.16004
- Views 103
- Downloads 0
Percutaneous Left Ventricular Restoration In Chronic Ischemic Heart
Heart failure remains a leading cause of cardiovascular morbidity and mortality following myocardial infarction. Progressive cardiac remodeling results in altered shape and geometry of left ventricle (LV) with increased...
Can We Differentiate Neurocardiogenic Syncope Types By Using Heart Recovery Indices Before Performing Head-up Tilt Testing
Syncope is commonly seen clinical finding which accounts for %6 of hospital admission and %3 of emergency departments [1] . Neurocardiogenic syncope is the most common cause of syncope [2]. The uncontrolled response of a...
Right Ventricular Free Wall Perforation without Tamponade: A Rare Complication of Permanent Pacemaker Lead Placement
Ventricular free wall rupture after implantation of a permanent pacemaker (PPM) is a rare condition that can lead to cardiac tamponade. The rupture usually occurs during the first lead placement, so it is worthy of notic...
Giant C-V Wave of Tricuspid Regurgitation
The case describes a patient with severe tricuspid regurgitation in decompensated cardiac failure. She was noted to have grossly elevated jugular venous pressure with giant C-V wave (video), which is an important classic...
Coronary Cameral Fistula in a Nigerian Infant: An Uncommon Cause of Continuous Murmur
A coronary artery fistula involves a sizeable communication between one of the coronary arteries and a cardiac chamber (coronary cameral fistula) or a vein (coronary arteriovenous fistula). Coronary fistulae account for...