Progressive atrial lead perforation developed 5 years after pacemaker replacement.
This report describes an asymptomatic case of atrial lead perforation which developed 5 years after pacemaker implantation. Although retrospective findings of computed tomography showed a screw-in atiral lead had already perforated 9 months after the implantation, the lead protrusion on chest X-rays and pacing failure had not been noticed until another 3 years later. At first, this complication was managed conservatively, however, a lead perforation progressively developed and, as a result, open surgery was performed to remove the lead. We therefore should be aware of the potential occurrence of a progressive protrusion of a perforated lead.
Sadamatsu
Kenji
K
Department of Cardiology, St. Mary's Hospital, Kurume, Japan. k-sadamatsu@umin.ac.jp
Enomoto
Naofumi
N
Tsuji
Miyako
M
Tashiro
Hideki
H
D020878:Device Removal; D004567:Electrodes, Implanted / Q000009:adverse effects; D005260:Female; D006325:Heart Atria / Q000293:injuries*; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D012804:Sick Sinus Syndrome / Q000628:therapy; D013997:Time Factors