Key result
Displaced AICD lead causes RV free wall rupture and cardiogenic shock requiring surgical repair.
Why the study?
Ventricular free wall rupture secondary to ICD lead perforation is a rare but major complication.
Population
A 73-year-old female post-TAVR with AFib who received an ICD after ventricular fibrillation arrest
Design
Case report
Authors
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Consider lead perforation in post-AICD shock; extends sparse case reports without altering practice.
Case Report (n=1)
AICD lead perforation is a rare but life-threatening complication that can present as right ventricular free wall rupture and cardiogenic shock, requiring prompt surgical intervention.
Rao et al. (2024) conducted a case report in Right ventricular free wall rupture (n=1). Automatic Implantable Cardioverter Defibrillator (AICD) placement was evaluated. A 73-year-old female developed cardiogenic shock due to right ventricular free wall rupture from a displaced AICD lead, which was successfully treated with surgical repair and lead revision.
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