Key result
Transvenous repositioning of a perforated right ventricular pacemaker lead unveiled a large-volume hemothorax caused by an intercostal artery laceration.
Case Report (n=1)
Transvenous repositioning of a perforated RV lead can rarely result in life-threatening hemothorax due to intercostal artery laceration.
Documents rare RV lead perforation variant; leaves open optimal management strategies in atypical presentations.
Perforation of the right ventricular (RV) free wall by a pacemaker lead is a known complication of permanent pacemaker implantation, with a prevalence rate of 0.1%–0.8%.1 Symptoms of RV lead perforation can range from asymptomatic to chest pain, shortness of breath, and life-threatening complications such as tamponade.2,3 Once RV lead perforation is confirmed, management typically involves lead extraction, either percutaneously or through open surgical repair.4 Here, we present a rare case in which transvenous repositioning of a perforated RV lead unveiled large-volume hemothorax in the setting of intercostal artery laceration.
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Zhang et al. (2025) conducted a case report in Right ventricular lead perforation and hemothorax (n=1). Transvenous repositioning of a perforated RV lead was evaluated. Transvenous repositioning of a perforated right ventricular pacemaker lead unveiled a large-volume hemothorax caused by an intercostal artery laceration.
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