title: Late Cardiac Tamponade as a Result of Parietal Pericardium Erosion.
abstract: Late onset cardiac tamponade is a rare and particularly challenging (both from diagnostic and management perspectives) complication of intracardiac lead implantation. We present a case of a late tamponade leading to cardiogenic shock, which occurred 1,164 days after implantable cardioverter-defibrillator (ICD) implantation. Open repair revealed unusual and, to our knowledge, not yet reported mechanism of the disease. A pressure sore caused by an ICD lead was found in the parietal layer of pericardium with no visible damage to the visceral layer. Conservative management in the described clinical scenario could be fatal, thus awareness of this pathomechanism of tamponade is critical.
authors.affiliation: Department of Cardiology, 4(th) Military Hospital, Wroclaw, Poland; Department of Heart Disease, Faculty of Health Sciences, Medical University in Wroclaw, Wroclaw, Poland. Electronic address: stanislaw.tubek@gmail.com.
authors.forename: Stanislaw
authors.initials: S
authors.lastname: Tubek
authors.affiliation: Department of Cardiology, 4(th) Military Hospital, Wroclaw, Poland; Department of Heart Disease, Faculty of Health Sciences, Medical University in Wroclaw, Wroclaw, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Niewinski
authors.affiliation: Department of Cardiology, 4(th) Military Hospital, Wroclaw, Poland.
authors.forename: Dariusz
authors.initials: D
authors.lastname: Jagielski
authors.affiliation: Department of Cardiac Surgery, 4(th) Military Hospital, Wroclaw, Poland.
authors.forename: Jacek
authors.initials: J
authors.lastname: Skiba
authors.affiliation: Department of Cardiac Surgery, 4(th) Military Hospital, Wroclaw, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Gemel
authors.affiliation: Department of Clinical Radiology and Imaging Diagnostics, 4(th) Military Hospital, Wroclaw, Poland.
authors.forename: Przemyslaw
authors.initials: P
authors.lastname: Jazwiec
authors.affiliation: Department of Cardiology, 4(th) Military Hospital, Wroclaw, Poland; Department of Heart Disease, Faculty of Health Sciences, Medical University in Wroclaw, Wroclaw, Poland.
authors.forename: Ewa Anita
authors.initials: EA
authors.lastname: Jankowska
authors.affiliation: Department of Cardiology, 4(th) Military Hospital, Wroclaw, Poland.
authors.forename: Waldemar
authors.initials: W
authors.lastname: Banasiak
authors.affiliation: Department of Cardiology, 4(th) Military Hospital, Wroclaw, Poland; Department of Heart Disease, Faculty of Health Sciences, Medical University in Wroclaw, Wroclaw, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Ponikowski
mesh_terms: D002305:Cardiac Tamponade / Q000209:etiology*; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000293:injuries*; D011183:Postoperative Complications / Q000209:etiology*; D013997:Time Factors