title: Asymptomatic right ventricular perforation by an implantable cardioverter defibrillator lead detected by home monitoring system.
abstract: 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.
authors.affiliation: Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padova, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Migliore
authors.forename: Loira
authors.initials: L
authors.lastname: Leoni
authors.forename: Gianluca
authors.initials: G
authors.lastname: Torregrossa
authors.forename: Cosimo
authors.initials: C
authors.lastname: Guglielmi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Tarantini
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Buja
authors.forename: Sabino
authors.initials: S
authors.lastname: Iliceto
authors.forename: Domenico
authors.initials: D
authors.lastname: Corrado
mesh_terms: 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