title: Near-fatal outcome of late cardiac perforation by a pacemaker lead in a young woman with transposition of the great arteries.
abstract: We report a case of ventricular perforation by an active-fixation permanent pacemaker lead in a young woman with congenital heart defect and pacemaker because of atrioventricular block. The rarity of the case is based not only upon the late perforation (as opposed to the more common acute perforations) but also on the near-fatal outcome. The patient experienced sharp chest pain and 1 week later passed out with cardiac arrest.
authors.affiliation: Division of Internal Medicine, Nordland Hospital, Bodø, Norway. cam.nilssen@gmail.com
authors.forename: Camilla
authors.initials: C
authors.lastname: Nilssen
authors.forename: Jan
authors.initials: J
authors.lastname: Westlie
authors.forename: Hans
authors.initials: H
authors.lastname: Bø
authors.forename: Erik
authors.initials: E
authors.lastname: Kongsgård
authors.forename: Knut
authors.initials: K
authors.lastname: Lappegård
mesh_terms: D004562:Electrocardiography; D004567:Electrodes, Implanted / Q000009:adverse effects*; D005260:Female; D006323:Heart Arrest / Q000000981:diagnostic imaging / Q000209:etiology*; D006327:Heart Block / Q000209:etiology / Q000628:therapy*; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D014188:Transposition of Great Vessels / Q000150:complications*; D055815:Young Adult