Right ventricular perforation with an ICD defibrillation lead managed by surgical revision and epicardial leads--case reports
Language English Country United States Media print
Document type Case Reports, Journal Article
PubMed
18181900
DOI
10.1111/j.1540-8159.2007.00917.x
PII: PACE917
Knihovny.cz E-resources
- MeSH
- Defibrillators, Implantable adverse effects MeSH
- Middle Aged MeSH
- Humans MeSH
- Device Removal MeSH
- Wounds, Penetrating diagnosis etiology surgery MeSH
- Heart Injuries diagnosis etiology surgery MeSH
- Equipment Failure MeSH
- Aged MeSH
- Heart Ventricles injuries surgery MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
The authors present two cases of patients with perforation of the right ventricular wall by the implantable cardioverter defibrillator (ICD) lead. The complication was resolved by cardiosurgical revision and epicardial leads stitched onto the diaphragmatic wall of the heart. The perforation was identified by electrical parameter changes of the leads, echocardiography, and computed tomography. Both patients had satisfactory values of electrical parameters and ICD function with epicardial leads. The importance of regular follow-up and a check of the lead parameters are emphasized.
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