Perforation by permanent pacemaker lead: How late can they occur?

Perforation by permanent pacemaker lead: how late can they occur?

Perforation by permanent pacemaker lead is rare but does occur. Usually perforations happen soon after the procedure, mostly within one year. But rarely, they occur late. We report a case of delayed perforation by passive fixation lead 33 weeks after the implantation in a patient with no comorbidities. The patient remained asymptomatic regarding the perforation except for having the feature...

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.

Late myocardial perforation by pacemaker lead in an asymptomatic patient.

A 74-year-old woman had undergone implantation of a permanent pacemaker (VDD) for grade 3 atrioventricular block two years previously, with no intervening complications. At a routine follow-up consultation, although she presented no symptoms, pacemaker dysfunction was detected (undersensing and failure to capture). A posteroanterior chest X-ray showed the pacemaker lead tip protruding outside t...

Tale of a Wandering Lead: Late Atrial Lead Perforation into Right Lung following Pacemaker Implantation

Cardiac perforation by a pacemaker lead is a rare complication of pacemaker implantation. Presentation can vary from chest pain and shortness of breath to the patient being completely asymptomatic. Diagnosis is usually made by high-resolution computed tomography (HRCT) scan of the chest. Electrocardiograph (EKG) usually shows the absence of a paced rhythm, but it doesn't provide a definitive di...

Right ventricular perforation by a passive-fixation pacemaker lead.