Journal of Electrocardiology
Volume 43, Issue 1 , Pages 71-73, January 2010

Delayed cardiac perforation by one small body diameter defibrillator lead

Department of Pacemaker and Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Mellat Park, Tehran, Iran

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.

Keywords: Implantable cardioverter-defibrillator, Cardiac perforation, Complication, Durata

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PII: S0022-0736(09)00129-0

doi:10.1016/j.jelectrocard.2009.04.005

Journal of Electrocardiology
Volume 43, Issue 1 , Pages 71-73, January 2010

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