Right ventricular perforation with an ICD defibrillation lead managed by surgical revision and epicardial leads--case reports

Pacing and Clinical Electrophysiology : PACE
Lubomír KrivanMilan Sepsi

Abstract

The authors present two cases of patients with perforation of the right ventricular wall by the implantable cardioverter defibrillator (ICD) lead. The complication was resolved by cardiosurgical revision and epicardial leads stitched onto the diaphragmatic wall of the heart. The perforation was identified by electrical parameter changes of the leads, echocardiography, and computed tomography. Both patients had satisfactory values of electrical parameters and ICD function with epicardial leads. The importance of regular follow-up and a check of the lead parameters are emphasized.

References

Jun 7, 2002·Pacing and Clinical Electrophysiology : PACE·Soori SivakumaranManohara P J Senaratne
Oct 3, 2002·Pacing and Clinical Electrophysiology : PACE·Kenneth A EllenbogenRichard K Shepard
Feb 3, 2004·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·K SrivathsanL R P Scott
Jan 24, 2007·Pacing and Clinical Electrophysiology : PACE·David A HirschlLinda B Haramati
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Citations

Mar 28, 2009·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·R HermanidesA Ramdat Misier
Jun 13, 2009·Journal of Electrocardiology·Majid HaghjooMohammad Ali Sadr-Ameli
May 24, 2008·Journal of the American College of Cardiology·Melvin M Scheinman, Edmund Keung

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