Asymptomatic right ventricular perforation by an implantable cardioverter defibrillator lead detected by home monitoring system.
Right ventricular lead perforation is a rare but serious and potentially life-threatening complication of pacemaker or defibrillator lead implantation. This report describes a patient with Brugada syndrome in whom the diagnosis of asymptomatic right ventricular perforation by an implantable cardioverter defibrillator lead was detected 12 days after implantation, thanks to a report from home monitoring system. The patient was admitted to our institution, where the lead was explanted and replaced. This case illustrates the potential lifesaving benefit of the home monitoring system in patients with implantable cardioverter defibrillator.
Migliore
Federico
F
Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padova, Italy.
Leoni
Loira
L
Torregrossa
Gianluca
G
Guglielmi
Cosimo
C
Tarantini
Giuseppe
G
Buja
Gianfranco
G
Iliceto
Sabino
S
Corrado
Domenico
D
D053840:Brugada Syndrome / Q000150:complications / Q000517:prevention & control; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal; D004567:Electrodes, Implanted / Q000009:adverse effects*; D006335:Heart Injuries / Q000209:etiology* / Q000601:surgery*; D006352:Heart Ventricles / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery