Delayed cardiac perforation by one small body diameter defibrillator lead

Abstract We report a 37-year-old man who presented with continuous chest pain 6 weeks after implantable cardioverter-defibrillator implantation. Implantable cardioverter-defibrillator interrogation indicated complete loss of capture even with maximum output. Chest radiography and echocardiography co...

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Published inJournal of electrocardiology Vol. 43; no. 1; pp. 71 - 73
Main Authors Haghjoo, Majid, MD, FESC, Alizadeh, Abolfath, MD, Fazelifar, Amir Farjam, MD, Hajahmadi, Mozhgan, MD, Sadr-Ameli, Mohammad Ali, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 2010
Subjects
Adult
Cardiac perforation
Cardiovascular
Complication
Defibrillators, Implantable - adverse effects
Durata
Electrodes, Implanted - adverse effects
Heart Injuries - diagnosis
Heart Injuries - etiology
Humans
Implantable cardioverter-defibrillator
Male
Time Factors
Wounds, Penetrating - diagnosis
Wounds, Penetrating - etiology
Complication
Durata
Cardiac perforation
Implantable cardioverter-defibrillator
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Summary:Abstract We report a 37-year-old man who presented with continuous chest pain 6 weeks after implantable cardioverter-defibrillator implantation. Implantable cardioverter-defibrillator interrogation indicated complete loss of capture even with maximum output. Chest radiography and echocardiography confirmed extracardiac location of lead tip. After lead repositioning in electrophysiology laboratory, acceptable pacing threshold was obtained with no complication. This report demonstrates a case of delayed cardiac perforation after implantation of the St Jude Medical Durata implantable cardioverter-defibrillator lead.
Bibliography:ObjectType-Case Study-2
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ISSN:0022-0736
1532-8430
DOI:10.1016/j.jelectrocard.2009.04.005