Delayed Cardiac Perforation by Defibrillator Lead Placed in the Right Ventricular Outflow Tract Resulting in Massive Pericardial Effusion

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Population

76-year-old man with a dual-chamber implantable cardioverter defibrillator (ICD)

Design

Case_report

Follow-up

1 month

Authors

Discussion

Raises caution for delayed perforation after RVOT ICD leads; leaves open trauma trigger and optimal positioning.

Population

76-year-old man with a dual-chamber implantable cardioverter defibrillator (ICD)

Intervention

Dual-chamber ICD with defibrillator lead positioned within the right ventricular outflow tract

Outcome

Delayed cardiac perforation resulting in massive pericardial effusionsafety

Highlights the risk of delayed cardiac perforation by ICD leads placed in the right ventricular outflow tract, especially following physical trauma.

Lau et al. (2008) studied this question.

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