Asymptomatic Right Ventricular Perforation by a Temporary Transvenous Pacing Lead in an Infant.
A 3-month-old male infant received transvenous temporary pacemaker for acquired complete atrioventricular block. However, a right ventricle perforation by the pacing lead was found incidentally when the patient was receiving permanent pacemaker implantation nineteen days after temporary pacing. There was no pacemaker dysfunction, active bleeding or hemopericardium. The temporary pacing lead was extracted and the site of perforation was sutured. This case is unique because of the patient's unusual clinical presentation, and we suggested that echocardiography should be performed cautiously to check the pacing catheter tip daily, even if asymptomatic and/or normal function of pacemaker.


BACKGROUND
Complete atrioventricular block; Right ventricle perforation; Transvenous pacing lead.
Department of Pediatrics, Taichung Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University;
Hsu-Ting
HT
Cheng
Department of Pediatrics, Taichung Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University;
Yun-Ching
YC
Fu
Cardiovascular Center, Taichung Veterans General Hospital;
Chung-Chi
CC
Wang
Department of Nursing, Ta-Jen University, Taiwan.
Sheng-Ching
SC
Chan
Department of Pediatrics, Taichung Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University;
Ming-Chih
MC
Lin
Department of Pediatrics, Taichung Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University;
Sheng-Ling
SL
Jan