Key result
Delayed right ventricular perforation by pacemaker leads presented as sudden chest pain in three patients, requiring surgical extraction and repair via a pericardial window.
Case Report (n=3)
Delayed pacemaker lead perforation is an unusual complication that can present with non-specific chest pain and requires multimodality imaging for diagnosis and a multidisciplinary approach for surgical extraction.
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Alerts clinicians to delayed RV lead perforation in post-pacemaker chest pain; case series leaves incidence and risks open.
We present three patients who complained of chest pain secondary to displaced pacemaker leads. They underwent evaluation in the emergency room multiple times for chest pain. Imaging was useful to diagnose misplaced ventricular leads of the pacemaker. The patients needed a pericardial window for the extraction of leads and repair of the heart defect. The perioperative course was managed with a multidisciplinary team of cardiologists and electrophysiologists.
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Gupta et al. (2020) conducted a case report in Delayed pacemaker lead perforation (n=3). Pacemaker leads was evaluated. Delayed right ventricular perforation by pacemaker leads presented as sudden chest pain in three patients, requiring surgical extraction and repair via a pericardial window.
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