Key result
Radical surgery with lead extraction successfully resolves RV perforation and pneumatocele.
Why the study?
Right ventricular perforation during pacing wire placement can be potentially fatal, and reports of interventricular septum perforation into the left ventricle are unusual.
Population
One patient with pacing wire perforation through the interventricular septum into the left ventricle
Design
Case report
Authors
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Alerts to rare septal perforation into LV during PPM implant; single case leaves open incidence and prevention strategies.
Case Report (n=1)
Early recognition and multimodality imaging can guide successful surgical management of unusual pacing lead perforations.
Acharya et al. (2024) conducted a case report in Right ventricular perforation, pneumothorax, and pneumatocele (n=1). Thoracotomy, partial lung resection, and pacemaker lead extraction was evaluated on Clinical outcome after surgical intervention. Radical surgical intervention, including thoracotomy, partial lung resection, and lead extraction, provided an excellent outcome for a patient with right ventricular perforation and pneumatocele.
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