Myocardial rupture after pulling out a tined atrial electrode with continuous traction.
Transvenous traction for the removal of retained pacemaker electrodes is common practice with few reported complications. This case reports a patient with a DDD pacemaker with extruded electrodes, who died of a myocardial rupture at the atrial lead site after prolonged (i.e., after 24 hours) traction was applied.
Intensive Care Unit, Hospital Arquitecto Marcide, El Ferrol, Spain.
A
A
García-Jiménez
C M
CM
Botana Albá
J M
JM
Gutiérrez Cortés
C
C
Galbán Rodríguez
I
I
Alvarez Diéguez
F
F
Navarro Pellejero
D004567:Electrodes, Implanted; D005260:Female; D006335:Heart Injuries / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial; D014143:Traction