Key result
A 42-year-old woman developed a delayed pericardial effusion without typical signs of cardiac tamponade 48 days after an ICD lead perforated her right ventricular outflow tract.
Population
1 patient, a 42-year-old Japanese woman with sustained monomorphic ventricular tachycardia and hyperlipidemia.
Design
Case_report
Follow-up
18 months (after surgical repair)
Authors
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Alerts clinicians to atypical delayed effusion post-ICD perforation; hypothesis-generating and requires confirmation in larger series.
Case Report (n=1)
Delayed pericardial effusion due to ICD lead perforation can occur weeks after implantation and may present atypically with fatigue and anemia rather than overt cardiac tamponade.
Chinushi et al. (2010) conducted a case report in Delayed pericardial effusion due to ICD lead perforation (n=1). ICD implantation (ATLAS+DR dual chamber ICD with RIATA RV lead) was evaluated on Delayed pericardial effusion and lead perforation. A 42-year-old woman developed a delayed pericardial effusion without typical signs of cardiac tamponade 48 days after an ICD lead perforated her right ventricular outflow tract.
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