Key result
Percutaneous placement of an implantable cardioverter defibrillator resulted in right atrial perforation and hemopneumothorax, which was successfully managed with thoracoscopic drainage and fibrin glue.
Case Report (n=1)
Active fixation leads during ICD placement can cause right atrial perforation leading to hemopneumothorax, requiring surgical intervention.
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Active fixation ICD leads may cause right atrial perforation with hemopneumothorax; this case leaves open questions on incidence and prevention.
Tran et al. (2001) conducted a case report in Right atrial perforation and hemopneumothorax (n=1). Implantable cardioverter defibrillator (ICD) insertion was evaluated on Hemopneumothorax due to right atrial wall perforation. Percutaneous placement of an implantable cardioverter defibrillator resulted in right atrial perforation and hemopneumothorax, which was successfully managed with thoracoscopic drainage and fibrin glue.
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