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Successful management of late right ventricular perforation after pacemaker implantation

Author(s): Amir K Bigdeli | Andres Beiras-Fernandez | Ingo Kaczmarek | et al

Journal: Vascular Health and Risk Management ISSN 1176-6344
Volume: 2010; Issue: default; Start page: 27; Date: 2010;
Original page

ABSTRACT
Amir K Bigdeli1, Andres Beiras-Fernandez1, Ingo Kaczmarek1, Christian Kowalski2, Michael Schmoeckel1, Bruno Reichart11Department of Cardiac Surgery, 2Department of Anesthesiology, Ludwig-Maximilians University, Munich, GermanyAbstract: Complications of pacemaker implantation include myocardial perforation, venous thrombosis, vegetations of the tricuspid valve or pacing lead, and tricuspid regurgitation. We report a patient presenting with a case of delayed ventricular lead perforation through the right ventricle. The lead was uneventfully extracted under transesophageal echocardiographic observation in the operating room with cardiac surgery backup.Keywords: pacemaker, lead perforation, complication