title: Lead explantation late after atrial perforation.
abstract: This report describes the case of a patient in whom atrial perforation with penetration of the thoracic wall was diagnosed 2 years after the implantation of an Accufix lead. Despite this complication, atrial detection in the bipolar mode and ventricular pacing were normal. Digital fluoroscopy detected a fracture with extrusion of a short segment of the retention wire. The rupture of the retention wire might have been the result, but was not the cause of the perforation.
authors.affiliation: Department of Cardiology, Centre Hospitalier Universitaire Nord, Marseille, France.
authors.forename: A J
authors.initials: AJ
authors.lastname: Trigano
authors.forename: T
authors.initials: T
authors.lastname: Caus
mesh_terms: D004868:Equipment Failure; D005260:Female; D006325:Heart Atria / Q000293:injuries*; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000209:etiology*