Key result
A calcified intra-cardiac mass was found to be associated with a complete ventricular pacemaker lead fracture in a 74-year-old woman presenting with syncope.
Case Report (n=1)
Highlights a rare case of complete pacemaker lead fracture potentially caused by mechanical stress from an intra-cardiac calcified mass.
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May warrant mass evaluation in pacemaker patients with syncope; leaves open causality and prevalence.
Seven years after the implantation of a dual-chamber pacemaker, a 74-year-old woman was referred for syncope. Chest X-ray revealed that the ventricular lead was completely broken near the tricuspid valve. Fluoroscopy and transthoracic echocardiography found a calcified mass, moving with the proximal part of the ventricular lead. Anatomopathology of the atrial tumour remained unknown. Surgery was considered too invasive a technique to be performed in our patient, who was suffering from dementia.
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Godin et al. (2010) conducted a case report in Complete pacemaker lead fracture (n=1). Intra-cardiac mass was evaluated on Complete pacemaker lead fracture. A calcified intra-cardiac mass was found to be associated with a complete ventricular pacemaker lead fracture in a 74-year-old woman presenting with syncope.
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