Missed diagnosis: Dual right ventricular lead perforation resulting in chest pain
نویسندگان
چکیده
Introduction Pacemaker and implantable cardioverter-defibrillator (ICD) lead perforations are well described and may cause many complications. Delayed cardiac perforation (DCP) is a less recognized complication of device implantation and is believed to be rare. We present a case of DCP wherein 2 simultaneous ICD lead perforations occurred in the right ventricle (RV) and were overlooked on chest radiograph (CXR) and chest computed tomography (CT) images. In patients with implanted cardiac leads presenting with chest pain or dyspnea, physicians familiar with typical lead placement should review the radiology images, and not simply read the reports, to recognize lead perforations.
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Subacute Right Ventricle Perforation by Pacemaker Lead Presenting with Left Hemothorax and Shock
Cardiac perforation by pacemaker is a rare but potentially fatal complication. Acute perforations occurring within twenty-four hours of insertion of pacemaker can lead to hemopericardium, cardiac tamponade, and death. Hemothorax occurring as an acute complication of pacemaker insertion is reported but extremely rare. Previously, hemothorax and shock as a subacute complication following pacemake...
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