The Subtle Journey of a Right Atrial Lead

We report an unusual case of subacute right atrial perforation by a screw-in pacemaker lead that migrated into the right lung causing hemopneumothorax 2 weeks after the procedure. After transvenous simple manual traction and minithoracotomy repair of the right atrial wall, the lead was repositioned...

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Bibliographic Details
Published in:JACC. Case reports 2020-06, Vol.2 (6), p.902-906
Main Authors: Gianni, Carola, Canby, Robert C., Anannab, Alisara, Della Rocca, Domenico G., Natale, Andrea, Al-Ahmad, Amin
Format: Article
Language:English
Subjects:
atrial lead
cardiac pacemaker
hemothorax
perforation
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Summary:We report an unusual case of subacute right atrial perforation by a screw-in pacemaker lead that migrated into the right lung causing hemopneumothorax 2 weeks after the procedure. After transvenous simple manual traction and minithoracotomy repair of the right atrial wall, the lead was repositioned without any complications. (Level of Difficulty: Beginner.) [Display omitted] We report an unusual case of subacute right atrial perforation by a screw-in pacemaker lead that migrated into the right lung causing hemopneumothorax…
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2020.05.018