Delayed cardiac perforation by one small body diameter defibrillator lead
Received 17 February 2009 published online 11 June 2009.
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.
Department of Pacemaker and Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Mellat Park, Tehran, Iran
Corresponding author. Department of Pacemaker and Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Mellat Park, Vali-E-Asr Avenue, PO Box: 15745-1341, Tehran 1996911151 Iran.
ABSTRACT