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Int J Angiol 2016; 25(05): e177-e179
DOI: 10.1055/s-0036-1580700
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cardiac Tamponade after Right Ventricular Perforation Caused by Screw-in Lead

Lovel Giunio
1   Department of Cardiology, University Hospital Centre Split, Split, Croatia
,
Teo Boric
2   Division of Vascular Surgery, Department of Surgery, University Hospital Centre Split, Split, Croatia
,
Cristijan Bulat
3   Department of Cardiac Surgery, University Hospital Centre Split, Split, Croatia
,
Dragan Dragicevic
4   Department of Radiology, University Hospital Centre Split, Split, Croatia
,
Mislav Lozo
1   Department of Cardiology, University Hospital Centre Split, Split, Croatia
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Publikationsverlauf

Publikationsdatum:
04. April 2016 (online)

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Abstract

A 69-year-old man was admitted after syncope followed with chest pain and signs of cardiac tamponade. He had undergone permanent dual-chamber pacemaker implantation 3 weeks earlier. Transthoracic echocardiography (TTE) confirmed a pericardial effusion, and urgent pericardial drainage was performed. Right ventricular perforation caused by active-fixation (screw-in) lead was verified by multislice computed tomography. The lead was extracted under fluoroscopy and bedside TTE monitoring in the operating room with cardiothoracic surgery backup. In the same act, the new ventricular passive-fixation lead was implanted.

Keywords

cardiac tamponade - right ventricular perforation - pacemaker - screw-in lead - complications - pericardial drainage - multislice computed tomography
 

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