Delayed cardiac perforation by one small body diameter defibrillator lead.
We report a 37-year-old man who presented with continuous chest pain 6 weeks after implantable cardioverter-defibrillator implantation. Implantable cardioverter-defibrillator interrogation indicated complete loss of capture even with maximum output. Chest radiography and echocardiography confirmed extracardiac location of lead tip. After lead repositioning in electrophysiology laboratory, acceptable pacing threshold was obtained with no complication. This report demonstrates a case of delayed cardiac perforation after implantation of the St Jude Medical Durata implantable cardioverter-defibrillator lead.
Haghjoo
Majid
M
Department of Pacemaker and Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Mellat Park, Tehran, Iran. majid.haghjoo@gmail.com
Alizadeh
Abolfath
A
Fazelifar
Amir Farjam
AF
Hajahmadi
Mozhgan
M
Sadr-Ameli
Mohammad Ali
MA
D000328:Adult; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D006335:Heart Injuries / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D013997:Time Factors; D014950:Wounds, Penetrating / Q000175:diagnosis* / Q000209:etiology*