Key result
A tined pacing lead caused late right ventricular myocardial perforation 12 days post-implantation, which was effectively confirmed using chest computed tomography.
Computed tomography of the chest is helpful for confirming late post-operative right ventricular perforation by a pacing lead.
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Chest CT aids confirmation of late RV lead perforation; single case leaves open incidence and management strategies.
Myocardial perforation by a pacing lead occurred 12 days after implantation. The lead was propelled into the myocardium of the anterior wall of ventricles without passing through the left ventricular cavity, and finally protruded into the pericardial cavity. Computed tomography of the chest was helpful for confirming the perforation by the pacing lead.
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Noma et al. (2006) studied this question. A tined pacing lead caused late right ventricular myocardial perforation 12 days post-implantation, which was effectively confirmed using chest computed tomography.
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