Key result
Implantation of a permanent cardiac pacemaker resulted in a fatal right ventricular perforation 10 days post-procedure, highlighting a potential mechanism for sudden death in paced patients.
Case Report (n=1)
Late fatal right ventricular perforation is a rare but severe complication that should be considered as a potential mechanism for sudden death in paced patients during the first year after implantation.
Answers are grounded in this paper and cite their sources.
Clinicians should consider late fatal RV perforation in sudden death after pacing; this case report leaves open its contribution to paced patient mortality.
GARCÍA‐BOLAO, I., et al.: Late Fatal Right Ventricular Perforation as Complication of Permanent Pacing Leads. Perforation of the right ventricle during placement of pacing electrodes is a well‐documented complication. Most of these perforations occur intraoperatively and rarely cause symptoms. This case report describes a fatal cardiac perforation that occurred 10 days after implantation of a permanent cardiac pacemaker. This complication should be considered as one of the potential mechanisms responsible for the high rate of sudden death observed in paced patients during the first year after pacemaker implantation.
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García‐Bolao et al. (2001) conducted a case report in Right ventricular perforation after pacemaker implantation (n=1). Permanent cardiac pacemaker implantation was evaluated on Fatal cardiac perforation. Implantation of a permanent cardiac pacemaker resulted in a fatal right ventricular perforation 10 days post-procedure, highlighting a potential mechanism for sudden death in paced patients.
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