Highlights a rare case of late perforation by an active-fixation ventricular lead without causing pericardial effusion or tamponade, even in a patient on warfarin.
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Raises caution for atypical late perforation without effusion or tamponade on warfarin; leaves open incidence and mechanisms.
This case report describes a late perforation of right heart wall, pericardium, and diaphragm by an active-fixation ventricular lead without development of pericardial effusion and cardiac tamponade even under oral warfarin treatment.
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Akyol et al. (2005) studied this question.
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