Right ventricular perforation with an ICD defibrillation lead managed by surgical revision and epicardial leads--case reports.
The authors present two cases of patients with perforation of the right ventricular wall by the implantable cardioverter defibrillator (ICD) lead. The complication was resolved by cardiosurgical revision and epicardial leads stitched onto the diaphragmatic wall of the heart. The perforation was identified by electrical parameter changes of the leads, echocardiography, and computed tomography. Both patients had satisfactory values of electrical parameters and ICD function with epicardial leads. The importance of regular follow-up and a check of the lead parameters are emphasized.
Krivan
Lubomír
L
Department of Cardiology, University Hospital Brno, Jihlavská 20, 625 00 Brno, Czech Republic. lkrivan@fnbrno.cz
Kozák
Milan
M
Vlasínová
Jitka
J
Sepsi
Milan
M
D000368:Aged; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal; D004868:Equipment Failure; D005260:Female; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D006352:Heart Ventricles / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*