Key result
A 68-year-old woman experienced a delayed right ventricular perforation by a permanent pacemaker lead one month after implantation, which was successfully managed with surgical removal.
Case Report (n=1)
No
Delayed right ventricular perforation can occur even with passive fixation pacemaker leads, highlighting the importance of frequent follow-up and imaging when pacing parameters change.
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Clinicians should remain vigilant for delayed RV perforation after pacemaker implantation; this case report leaves open true incidence and optimal surveillance.
Ventricular perforation is a rare complication of permanent cardiac pacemaker implantation. We report here on a 68-year-old woman with a dual chamber permanent pacemaker that had been implanted one month earlier, and she suffered cardiac perforation from the pacemaker lead. Frequent follow-up via12-lead surface electrocardiography and chest radiography and the proper work-up for pacemaker implantation are needed for detecting rare complications after pacemaker implantation. (Korean Circulation J 2007;37:453-457)
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Park et al. (2007) conducted a case report in Sick sinus syndrome (n=1). Permanent pacemaker implantation was evaluated on Right ventricular perforation. A 68-year-old woman experienced a delayed right ventricular perforation by a permanent pacemaker lead one month after implantation, which was successfully managed with surgical removal.
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