title: Delayed right ventricular defibrillation lead perforation presenting as cardiac tamponade and treated surgically.
abstract: Right ventricular perforation leading to cardiac tamponade can occur during the chronic phase after cardiac device implantation. Physicians who manage the pacemaker clinic must be alert to the wide range of symptoms and signs that can accompany delayed right ventricular perforation. Surgical rather than percutaneous lead extraction may be prudent.
authors.affiliation: Department of Cardiology Tokyo Bay Urayasu Ichikawa Medical Center Chiba Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Noguchi
authors.affiliation: Division of Advanced Therapeutics for Cardiac Arrhythmias Department of Medicine Nihon University School of Medicine Tokyo Japan.
authors.forename: Toshiko
authors.identifier: 0000-0002-7346-6085
authors.initials: T
authors.lastname: Nakai
authors.affiliation: Department of Cardiovascular Surgery Tokyo Bay Urayasu Ichikawa Medical Center Chiba Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kawano
authors.affiliation: Department of Cardiology Tokyo Bay Urayasu Ichikawa Medical Center Chiba Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Shibayama
authors.affiliation: Department of Cardiology Tokyo Bay Urayasu Ichikawa Medical Center Chiba Japan.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Obunai
authors.affiliation: Department of Cardiovascular Surgery Tokyo Bay Urayasu Ichikawa Medical Center Chiba Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Tabata
authors.affiliation: Department of Cardiology Tokyo Bay Urayasu Ichikawa Medical Center Chiba Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Watanabe
keywords: Defibrillator lead; delayed perforation; pericardial effusion