Key result
A rare case of ventricular pacemaker lead perforation into the left lung parenchyma was successfully managed by placing a second device on the contralateral side without manipulating the perforated lead.
Why the study?
Pacemaker lead perforation is a rare complication of pacemaker device implantation.
Case Report (n=1)
Pacemaker lead perforation into the lung can occur without catastrophic complications and present solely as pacing failure, manageable by contralateral device implantation.
Pacemaker lead perforation may present with isolated pacing failure; this case leaves open optimal post-implant surveillance strategies.
Pacemaker lead perforation is a rare complication of pacemaker device implantation. We report a case where a ventricular lead perforated through right ventricle, pericardium and went into left lung parenchyma without the development of pericardial effusion, cardiac tamponade, pleural effusion, pneumo or hemo thorax. Patient presented with complaints solely related to failure of pacing rather than disastrous or life threating complications. Echocardiography didn't reveal any evidence of perforation and it was detected on fluoroscopy and computed tomography helped in making the diagnosis. Patient was treated with second procedure where second device placed on other side without manipulating previous device or lead.
No takes yet. Share an insight, caveat, or question.
Kumar et al. (2022) conducted a case report in Pacemaker lead perforation (n=1). Placement of a second pacemaker device on the contralateral side was evaluated. A rare case of ventricular pacemaker lead perforation into the left lung parenchyma was successfully managed by placing a second device on the contralateral side without manipulating the perforated lead.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: