Key result
Implantation of an active-fixation atrial pacing lead can cause aortic perforation, which should be considered in the differential diagnosis of cardiac tamponade after pacemaker implantation.
Case Report
Aortic perforation should be included in the differential diagnosis of cardiac tamponade after pacemaker implantation with an active-fixation atrial lead.
May warrant vigilance for aortic injury during active-fixation atrial lead placement; this case leaves open true incidence and prevention strategies.
This report describes perforation of the aorta related to the implantation of an active-fixation atrial pacing lead, a previously undocumented complication of pacemaker implantation. The complication was related to excessive tissue penetration by the screw at the tip of the lead or perforation of the lead body by the positioning stylet during manipulation whereupon the stylet traversed the atrial wall and aortic wall. Perforation of the aorta should be part of the differential diagnosis of cardiac tamponade after pacemaker implantation.
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Kashani et al. (2004) conducted a case report in Aortic perforation and cardiac tamponade after pacemaker implantation. Implantation of an active-fixation atrial pacing lead was evaluated on Perforation of the aorta. Implantation of an active-fixation atrial pacing lead can cause aortic perforation, which should be considered in the differential diagnosis of cardiac tamponade after pacemaker implantation.
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