Key result
Active fixation pacemaker lead perforation causes delayed right pneumothorax 11 days after implantation.
Why the study?
Cardiac perforation after pacemaker implantation is rare (around 1%) but represents a serious complication that can lead to cardiac tamponade or death.
Case Report (n=1)
No
Active fixation leads can rarely perforate the right atrium and adjacent structures causing delayed pneumothorax, necessitating prompt recognition and surgical lead extraction.
Delayed pneumothorax after atrial lead placement warrants perforation consideration; this case leaves open systematic risk quantification for active fixation leads.
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Motohashi et al. (2023) conducted a case report in Delayed pneumothorax after pacemaker implantation (n=1). Pacemaker implantation with active fixation lead was evaluated. A 70-year-old woman developed a delayed right pneumothorax 11 days after pacemaker implantation due to an active fixation lead penetrating the right atrial wall and perforating the pericardium and pleura.
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