Key result
Active-fixation ICD lead perforates septum and LV requiring emergency surgical extraction in HCM patient.
Why the study?
Left ventricular perforation caused by an ICD lead is a rare but potentially fatal complication.
Population
One 34-year-old man with hypertrophic cardiomyopathy
Design
Case report
Authors
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LV perforation may occur days after septal ICD placement in HCM; single case leaves open incidence and prevention strategies.
Case Report (n=1)
Hypertrophic myocardium does not preclude life-threatening ICD lead perforation, underscoring the importance of early recognition and individualized surgical management.
Alexiou et al. (2026) conducted a case report in Hypertrophic cardiomyopathy with ICD lead perforation (n=1). ICD implantation with active-fixation transvenous lead was evaluated. An active-fixation ICD lead caused a rare transseptal and left ventricular perforation in a 34-year-old man with hypertrophic cardiomyopathy, necessitating emergency pericardiocentesis and surgical extraction.
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