Key result
A 76-year-old man developed haemoptysis 7 days after pacemaker implantation due to an atrial lead perforating the right atrium, pericardium, and right pleura.
Case Report (n=1)
Haemoptysis can be a rare presentation of pacemaker lead perforation involving the pleura and lung.
Haemoptysis may signal late atrial lead perforation into pleura; single case leaves open incidence and surveillance needs.
A 76-year-old man presented with haemoptysis that developed 7 days after dual-chamber pacemaker implantation at another hospital. The patient was otherwise in good health and without symptoms. Chest X-ray (A) and computed tomography scan (B) revealed atrial lead (Medtronic lead model CapSure SP Novu) perforating the right atrium, pericardium, and right pleura. The right lung showed consolidation around the tip of the lead. Electrocardiogram (C) demonstrated pacemaker malfunction. Echocardiogram revealed a small pericardial effusion without cardiac tamponade. The lead was removed through median sternotomy. Conflict of interest: none declared.1
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Senderek et al. (2011) conducted a case report in Haemoptysis as a complication of pacemaker implantation (n=1). Dual-chamber pacemaker implantation was evaluated on Haemoptysis and lead perforation. A 76-year-old man developed haemoptysis 7 days after pacemaker implantation due to an atrial lead perforating the right atrium, pericardium, and right pleura.
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