Key result
Nonsurgical management successfully treats temporary transvenous pacemaker-induced perforation after CABG.
Why the study?
Right ventricular perforation by a temporary transvenous pacemaker often results in cardiac tamponade requiring surgical management, but nonsurgical approaches have not been well described.
Demonstrates that nonsurgical management of cardiac perforation by a temporary transvenous pacemaker can be feasible when the perforation is contained within epicardial adipose tissue.
Nonsurgical management may be feasible in select post-CABG perforations; this single case leaves open generalizability and safety.
Right ventricular perforation by a temporary transvenous pacemaker (TTP) often results in cardiac tamponade, which is a potentially fatal complication that can require surgical management.1,2 We present a unique case of nonsurgical management of cardiac perforation within epicardial adipose tissue (EAT) by a TTP in a patient with a history of coronary artery bypass graft (CABG).
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Nishioeda et al. (2024) studied this question. Nonsurgical management successfully treated a temporary transvenous pacemaker-induced cardiac perforation within epicardial adipose tissue in a patient with prior CABG.
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