title: Cardiac Tamponade after Right Ventricular Perforation Caused by Screw-in Lead.
abstract: A 69-year-old man was admitted after syncope followed with chest pain and signs of cardiac tamponade. He had undergone permanent dual-chamber pacemaker implantation 3 weeks earlier. Transthoracic echocardiography (TTE) confirmed a pericardial effusion, and urgent pericardial drainage was performed. Right ventricular perforation caused by active-fixation (screw-in) lead was verified by multislice computed tomography. The lead was extracted under fluoroscopy and bedside TTE monitoring in the operating room with cardiothoracic surgery backup. In the same act, the new ventricular passive-fixation lead was implanted.
authors.affiliation: Department of Cardiology, University Hospital Centre Split, Split, Croatia.
authors.forename: Lovel
authors.initials: L
authors.lastname: Giunio
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University Hospital Centre Split, Split, Croatia.
authors.forename: Teo
authors.initials: T
authors.lastname: Boric
authors.affiliation: Department of Cardiac Surgery, University Hospital Centre Split, Split, Croatia.
authors.forename: Cristijan
authors.initials: C
authors.lastname: Bulat
authors.affiliation: Department of Radiology, University Hospital Centre Split, Split, Croatia.
authors.forename: Dragan
authors.initials: D
authors.lastname: Dragicevic
authors.affiliation: Department of Cardiology, University Hospital Centre Split, Split, Croatia.
authors.forename: Mislav
authors.initials: M
authors.lastname: Lozo
keywords: cardiac tamponade; complications; multislice computed tomography; pacemaker; pericardial drainage; right ventricular perforation; screw-in lead