Perforation of right ventricular free wall by pacemaker lead detected by multidetector computed tomography.
Pacemaker lead perforation is a recognized complication of lead implantation, particularly with active fixation leads. Multidetector computed tomography (MDCT) is emerging as the imaging modality of choice in diagnosing lead perforation, identifying associated sequelae such as pericardial effusion and planning extraction. We present a case illustrating the use of MDCT in a case of right ventricular (RV) lead perforation manifesting 5 days after cardiac resynchronization therapy pacing.
Yavari
Arash
A
Conquest Heart Centre, Conquest Hospital, The Ridge, St Leonards-on-sea, East Sussex, UK. yavari_a@hotmail.com
Khawaja
Zeeshan O
ZO
Krishnamoorthy
Sanjay
S
McWilliams
Eric T
ET
D000368:Aged; D004562:Electrocardiography; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013318:Stroke Volume / Q000502:physiology; D014057:Tomography, X-Ray Computed; D018497:Ventricular Dysfunction, Right / Q000000981:diagnostic imaging* / Q000503:physiopathology