Key result
An active-fixation permanent pacemaker lead caused a late ventricular perforation resulting in cardiac arrest in a young woman with transposition of the great arteries.
Case Report (n=1)
Highlights the rare but potentially fatal complication of late ventricular perforation by an active-fixation pacemaker lead in a patient with congenital heart disease.
Clinicians should remain vigilant for late perforation in congenital heart disease pacemaker patients; this case leaves open optimal lead selection and surveillance.
We report a case of ventricular perforation by an active-fixation permanent pacemaker lead in a young woman with congenital heart defect and pacemaker because of atrioventricular block. The rarity of the case is based not only upon the late perforation (as opposed to the more common acute perforations) but also on the near-fatal outcome. The patient experienced sharp chest pain and 1 week later passed out with cardiac arrest.
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Nilssen et al. (2011) conducted a case report in Transposition of the great arteries and atrioventricular block (n=1). Active-fixation permanent pacemaker lead was evaluated on Late ventricular perforation and cardiac arrest. An active-fixation permanent pacemaker lead caused a late ventricular perforation resulting in cardiac arrest in a young woman with transposition of the great arteries.
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