Erosion of implantable cardioverter defibrillator patch electrode into airways: an unusual cause of recurrent hemoptysis.
A 74-year-old man presented with a 9-month history of recurrent hemoptysis. He had implantable cardioverter defibrillator (ICD) patch electrodes placed 4 years before. A chest x-ray film showed crinkling of his posteriorly placed ICD patch which also appeared to have separated from his ventricle on a CT scan of the chest. Bronchoscopy localized the ICD patch electrode to the lower lobe of the left lung. He underwent a lobectomy and was treated with antibiotics at home. In patients with known ICD implantation, patch erosion into the airways should be considered in the differential diagnosis of recurrent hemoptysis.
Dasgupta
A
A
Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, OH 44195, USA.
Mehta
A C
AC
Rice
T W
TW
Tchou
P
P
Meli
Y
Y
Wiedemann
H P
HP
D000368:Aged; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D001980:Bronchi / Q000293:injuries*; D001999:Bronchoscopy; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D011013:Pneumonectomy; D013902:Radiography, Thoracic; D012008:Recurrence