January 1, 2001Pacing and Clinical Electrophysiology
Recurrent Pericardial Chest Pain: A Case of Late Right Ventricular Perforation After Implantation of a Transvenous Active‐Fixation ICD Lead
Key result
Late right ventricular perforation after transvenous active-fixation ICD lead implantation presented as recurrent pericardial chest pain and was confirmed by right ventriculography.
Population
1 36-year-old woman with a history of recurrent syncopal episodes presumably due to ventricular…
Design
Case_report
Follow-up
23 months
Authors
Discussion
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Member takes
Implication
Consider late RV perforation in recurrent pericardial pain after active-fixation ICD leads; case report leaves open incidence and management.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
A 36-year-old woman with mitral valve prolapse and recurrent syncope who developed late right ventricular perforation during a 23-month follow-up after transvenous ICD implantation.
I
Intervention
Implantation of a transvenous active-fixation ICD lead
O
Outcome
Diagnosis of right ventricular perforationsafety
Late right ventricular perforation should be considered in patients with recurrent pericardial chest pain after active-fixation ICD lead implantation, even if initial pacing parameters are normal.
Cite This Study
Kautzner et al. (2001) conducted a case report in Recurrent pericardial chest pain after ICD implantation (n=1). Transvenous active-fixation ICD lead implantation was evaluated on Right ventricular perforation. Late right ventricular perforation after transvenous active-fixation ICD lead implantation presented as recurrent pericardial chest pain and was confirmed by right ventriculography.