A right ventricular perforation

Right ventricular perforation by a passive-fixation pacemaker lead.

Right ventricular perforation as a complication of fluoroscopy-guided pericardiocentesis.

A 77-year-old woman presented to our emergency department with worsening shortness of breath. She was hemodynamically stable. Initial work-up was significant for hemoglobin 10.3 g/dl and enlarged cardiac silhouette on the chest X-ray. Transthoracic echocardiography showed a large circumferential pericardial effusion and dilated inferior vena cava. There was no right chamber collapse. Therapeuti...

Surgical Repair of Subacute Right Ventricular Perforation after Pacemaker Implantation

We report an 84-year-old woman who presented with right ventricular perforation 4 days after pacemaker implantation for syncope due to sick sinus syndrome. Median sternotomy revealed no pericardial effusion, but the pacing lead had penetrated the right ventricle and pericardium. When the pleura was opened, the tip of the lead was seen in the visceral pleura. The lead was cut in the pericardial ...

Successful management of late right ventricular perforation after pacemaker implantation

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...

A rare case of late right ventricular perforation by a passive-fixation permanent pacemaker lead.

The present paper is an interesting and rare complication of implantation of a permanent pacemaker lead. The rarity of the case is based upon that ventricular perforation is usually present during implantation, whereas in our case, it was presented late--1 month after implantation. Furthermore, in our case, the pacemaker lead had migrated through the left hemidiaphragm into the peritoneal cavity.