Key result
Surgical removal of two perforated right ventricular ICD leads resulted in complete resolution of pleural effusion, pneumothorax, and pneumomediastinum, with improvement in ejection fraction to 65% at two months.
Population
1 patient with an implanted cardioverter-defibrillator presenting with chest pain due to delayed cardiac…
Design
Case_report
Authors
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Clinicians should suspect DCP despite negative CXR/CT in symptomatic device patients; this case leaves open optimal imaging strategies.
Case Report (n=1)
Physicians should independently review radiology images in patients with cardiac devices presenting with chest pain to avoid missing lead perforations.
Nelson et al. (2016) conducted a case report in Dual right ventricular lead perforation (n=1). Surgical removal of perforated ICD leads was evaluated on Resolution of symptoms and complications (pleural effusion, pneumothorax, pneumomediastinum). Surgical removal of two perforated right ventricular ICD leads resulted in complete resolution of pleural effusion, pneumothorax, and pneumomediastinum, with improvement in ejection fraction to 65% at two months.
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