The bite of the lead: multiorgan perforation by an active-fixation permanent pacemaker lead.
In the presented case, a screw-in pacemaker lead migrated through the right ventricle, pericardium, left hemidiaphragm, and the left liver lobe into the epigastric region. The rarity of the case is based upon the multiorgan perforation without development of relevant pericardial effusion or intra-abdominal bleeding. Lead extraction was performed uneventfully.
Madershahian
Navid
N
Department of Cardiothoracic Surgery, Cologne University Heart Centre, Kerpener St 62, D-50924 Cologne, Germany. navid.madershahian@web.de
Wippermann
Jens
J
Wahlers
Thorsten
T
D000368:Aged; D002304:Cardiac Pacing, Artificial; D020878:Device Removal; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000293:injuries*; D004867:Equipment Design; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D006352:Heart Ventricles / Q000293:injuries; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010496:Pericardium / Q000293:injuries; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery