Early Detection of Perforation of the Right Ventricle by a Permanent Pacemaker Lead

2007 ◽  
Vol 37 (9) ◽  
pp. 453
Author(s):  
Hye Kyung Park ◽  
Hyo Seung Ahn ◽  
Ban Suck Lee ◽  
Hye Jin Won ◽  
Young Sup Byun ◽  
...  
Keyword(s):  
Early Detection ◽  
Right Ventricle ◽  
Permanent Pacemaker ◽  
Pacemaker Lead ◽  
The Right

Positional syncope occurring just at the right time in a patient with a permanent pacemaker: a case report

2021 ◽  
Vol 71 (10) ◽  
pp. 2461-2463
Author(s):  
Syed Haseeb Raza Naqvi ◽  
Madiha Fatima ◽  
Pir Sheeraz Ali ◽  
Maqsood Alam ◽  
Muhammad Taha Khan ◽  
...  
Keyword(s):  
Case Report ◽  
Hospital Admission ◽  
Unusual Case ◽  
Pacemaker Implantation ◽  
Integrated Approach ◽  
Permanent Pacemaker ◽  
Pacemaker Lead ◽  
History Taking ◽  
Lead Fracture ◽  
The Right

We present an unusual case of positional syncope occurring years after pacemaker implantation due to pacemaker lead fracture resulting from subclavian-crush syndrome. The syncope occurred incidentally during hospital admission and was timely diagnosed using an integrated approach of history taking, examination findings, device interrogation and radiographic parameters. The patient subsequently underwent lead and device revision which led to resolution of her symptoms. Continuous...

Subacute right ventricle perforation: a pacemaker lead complication

2021 ◽  
Vol 14 (5) ◽  
pp. e242489
Author(s):  
Emna Allouche ◽  
Soumaya Chargui ◽  
Marwa Fathi ◽  
Leila Bezdah
Keyword(s):  
Pericardial Effusion ◽  
Right Ventricle ◽  
Pacemaker Lead ◽  
Cardioverter Defibrillator ◽  
Active Fixation ◽  
Ventricular Lead ◽  
Life Threatening ◽  
Right Ventricular Apex ◽  
Life Threatening Complication ◽  
The Right

Myocardial perforation is an uncommon but potentially life-threatening complication of pacemaker and implantable cardioverter-defibrillator. Myocardial perforation may be acute, subacute or chronic when it occurs within 24 hours of the device insertion; between 1 day and 30 days; and more than 30 days after implantation. This complication may occur in 1.7%–7% of patients. However, subacute myocardial perforation is rare and affects 0.5%–1.2% of patients. We report the case of an 85-year-old patient with a pacemaker failure 10 days after implantation due to a subacute myocardial perforation caused by an active fixation ventricular lead. Transthoracic echocardiography showed penetration of the ventricular lead through the right ventricular apex into the pericardium without any pericardial effusion. We confirmed myocardial perforation by a CT scan. We referred her to the surgery ward where she was successfully managed.

scholarly journals Unusual Needle Migration into the Heart of a Pediatric Patient

2021 ◽  
Author(s):  
Noor Mohamad Noori ◽  
Seyed Hosein Soleimanzadeh Mousavi ◽  
Changiz Azadi Ahmadabadi
Keyword(s):  
Early Detection ◽  
Right Ventricle ◽  
Right Ventricular ◽  
Ct Scan ◽  
Operating Room ◽  
Ventricular Wall ◽  
Right Ventricular Wall ◽  
Life Threatening ◽  
Uncommon Case ◽  
The Right

Sharp-object penetration into the chest is rare and may lead to life-threatening complications, hence the significance of early detection and removal. We present an uncommon case of the accidental penetration of a sewing needle into the chest of a 5-year-old girl, with the needle traveling from the entrance site to the right ventricle through the lung tissue. Due to the possibility of cardiovascular accidents, the patient was transferred to a special ward. For positioning and correct actions, TTE and CT scan of the chest with and without contrast were performed and the presence of a tangential needle with the right ventricular wall and inside the pericardium was reported. The patient was taken to the operating room, and after exploring, a 2 cm needle was inserted into the right ventricle and removed. The patient was discharged after 5 days.

scholarly journals Pacemaker Dysfunction due to a Large Thrombus on Ventricular Lead

2019 ◽  
Vol 22 (2) ◽  
pp. E131-E133
Author(s):  
Zhen Xia ◽  
Jianhua Yu ◽  
Juxiang Li ◽  
Qinmei Xiong ◽  
Yanhua Tang ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Pacemaker Lead ◽  
Open Heart ◽  
Cardiac Events ◽  
Icd Implantation ◽  
Pacing Lead ◽  
Pacemaker Dysfunction ◽  
The Right

Background: Pacemaker lead–related thrombosis is a rare but severe complication in patients with pacing lead implantation in the right ventricle. We present a case with recurrent syncope after single-chamber implantable cardioverter defibrillator (ICD) implantation. Pacing lead–related thrombosis was observed during open-heart surgery. This induced intermittent pacemaker dysfunction and recurrent syncope. Case Presentation: A 67-year-old male patient presented with frequent episodes of syncope and a history of dilated cardiomyopathy and paroxysmal ventricular tachycardia. Normal coronary angiography was found, and therefore a single-chamber ICD was implanted into the right ventricle to prevent cardiac events in 2013. However, he was referred to our hospital because of recurrent syncope 3 to 4 years after ICD implantation. A comprehensive investigation was performed to find out the etiology for the recurrent syncope. Pacing lead thrombosis was finally observed during open-heart surgery, which can introduce intermittent pacemaker dysfunction. After the thrombus was removed and the lead was separated from the posterior leaflet of the tricuspid valve, the ICD functioned normally after reprogramming. Oral anticoagulant was prescribed after discharging. During the 1-year follow-up period, this patient was free of syncope. Conclusions: This case illustrated that pacemaker lead–associated thrombosis should be considered when the cardiac implantable electronic device fails to prevent patients from having cardiac events. Oral anticoagulant might be important for preventing thrombosis among patients with ICD implantation into the right ventricle.

1609: DELAYED PERFORATION OF RIGHT VENTRICLE BY PERMANENT PACEMAKER LEAD PRESENTING WITH HEMORRHAGIC SHOCK

2016 ◽  
Vol 44 (12) ◽  
pp. 477-477
Author(s):  
Ijlal Akbar Ali ◽  
Aftab Ahmed ◽  
Adam Przebinda ◽  
Tanzeel Iqbal ◽  
Arthur Mcunu
Keyword(s):  
Right Ventricle ◽  
Hemorrhagic Shock ◽  
Permanent Pacemaker ◽  
Pacemaker Lead ◽  
Delayed Perforation
Sign in / Sign up

Export Citation Format

Share Document