Hemothorax induced by cardiac perforation resulting from two active screw-in leads: A case report

Abstract

We describe the case of a 77-year-old female who underwent dual-chamber permanent pacemaker implantation using two active screw-in leads for complete atrioventricular block. The two active screw-in leads perforated the atrial and ventricular walls causing cardiac tamponade and a left hemothorax associated with ventricular perforation. An emergency sternotomy was performed to facilitate drainage and hemostasis. Although hemothorax due to pacing lead perforation is very rare, such a possibility should always be considered.

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Morita, H. , Saito, T. and Misawa, Y. (2013) Hemothorax induced by cardiac perforation resulting from two active screw-in leads: A case report. World Journal of Cardiovascular Diseases, 3, 220-221. doi: 10.4236/wjcd.2013.32033.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Greene, T.O., Portnow, A.S. and Huang, S.K.S. (1994) Acute pericarditis resulting from an endocardial active fixation screw-in atrial lead. Pacing and Clinical Electrophysiology, 17, 21-25. doi:10.1111/j.1540-8159.1994.tb01346.x
[2] Dilling-Boer, D., Ector, H., Willems, R. and Heidbuchel, H. (2003) Pericardial effusion and right-sided pneumothorax resulting from an atrial active-fixation lead. Europace, 5, 419-423. doi:10.1016/S1099-5129(03)00079-5
[3] Sivakumaran, S., Irwin, M.E. and Gulamhusein, S.S. (2002) Postpacemaker implant pericarditis: Incidence and outcomes with active-fixation leads. Pacing and Clinical Electrophysiology, 25, 833. doi:10.1046/j.1460-9592.2002.t01-1-00833.x
[4] Velavan, P. and Chauhan, A. (2003) An unusual presentation of delayed cardiac perforation caused by atrial screw-in lead. Heart, 89, 364. doi:10.1136/heart.89.4.364
[5] Matsushita, A., Komiya, T., Tamura, N. and Sakaguchi, G. (2008) Pneumopericardium caused by a permanent endocardial pacing lead. Interactive Cardiovascular and Thoracic Surgery, 7, 1127-1128. doi:10.1510/icvts.2008.183947
[6] Geyfman, V., Storm, R.H., Lico, S.C. and Oren, J.W. (2007) Cardiac tamponade as complication of active-fixation atrial lead perforations: Proposed mechanism and management algorithm. Pacing and Clinical Electrophysiology, 30, 498-501. doi:10.1111/j.1540-8159.2007.00699.x

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