Ventricular perforation by pacemaker lead repaired with two hemostatic devices

Ventricular perforation by pacemaker lead repaired with two hemostatic devices

Abstract INTRODUCTION Cardiac perforation is a rare, but potentially serious, complication of pacemaker implantation that may develop days or weeks after implantation. PRESENTATION OF CASE In the current case, 92-year-old man underwent permanent pacemaker implantation, but he presented 3 weeks later...

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Veröffentlicht in:International journal of surgery case reports 2014-01, Vol.5 (12), p.906-908
Hauptverfasser: Prestipino, Filippo, Nenna, Antonio, Casacalenda, Adele, Chello, Massimo
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Sprache:eng
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Chest wall
Computed tomography
Hemothorax
Pacemaker
Surgery
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container_issue 12
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container_title International journal of surgery case reports
container_volume 5
creator Prestipino, Filippo
Nenna, Antonio
Casacalenda, Adele
Chello, Massimo
description Abstract INTRODUCTION Cardiac perforation is a rare, but potentially serious, complication of pacemaker implantation that may develop days or weeks after implantation. PRESENTATION OF CASE In the current case, 92-year-old man underwent permanent pacemaker implantation, but he presented 3 weeks later with severe symptoms. Computed tomography showed protrusion of the tip of the ventricular electrode through the right ventricle and into the chest wall. During an urgent surgical intervention, the lead was disconnected and extracted. A sealing hemostatic device and an hemostatic patch were applied to repair the ventricle; the procedure was uneventfull. DISCUSSION This case demonstrates how the correct diagnosis of ventricular perforation is crucial, and should be followed immediately by surgical planning. CONCLUSION The hemostatic patch is a valuable alternative to sutures in patients with thin and fragile ventricular wall, unable to undergo stitching.
doi_str_mv 10.1016/j.ijscr.2014.10.006
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subjects Chest wall
Computed tomography
Hemothorax
Pacemaker
Surgery
title Ventricular perforation by pacemaker lead repaired with two hemostatic devices
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