Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain

Case Presentation: We describe a middle-age male with a past medical history of second-degree atrioventricular block type II status post permanent pacemaker placement the day prior who presented to the emergency department complaining of chest pain. Electrocardiography showed a non-paced ventricular...

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Autores principales:	Maria C. Cañizares-Otero, Mauricio Danckers
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/a07b206dc26d41fe8ba58d1152705fe0
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spelling	oai:doaj.org-article:a07b206dc26d41fe8ba58d1152705fe02021-11-23T20:02:52ZPacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain2474-252X10.5811/cpcem.2021.7.52689https://doaj.org/article/a07b206dc26d41fe8ba58d1152705fe02021-11-01T00:00:00Zhttps://escholarship.org/uc/item/6pm2c1x9https://doaj.org/toc/2474-252XCase Presentation: We describe a middle-age male with a past medical history of second-degree atrioventricular block type II status post permanent pacemaker placement the day prior who presented to the emergency department complaining of chest pain. Electrocardiography showed a non-paced ventricular rhythm. Chest radiograph showed the ventricular pacemaker lead located distally overlying the right ventricle apical area. On further investigation, chest computed tomography showed a perforation of the ventricular wall by the pacemaker lead prompting urgent intervention by the cardiothoracic surgery team for lead replacement and right ventricular repair. Discussion: Our case illustrates the importance of timely recognition of a perforated pacemaker lead in a patient presenting with chest pain after device implantation. We additionally describe the risk factors for ventricular perforation, initial clinical presentation, and management approach.Maria C. Cañizares-OteroMauricio DanckerseScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Maria C. Cañizares-Otero Mauricio Danckers Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain
description	Case Presentation: We describe a middle-age male with a past medical history of second-degree atrioventricular block type II status post permanent pacemaker placement the day prior who presented to the emergency department complaining of chest pain. Electrocardiography showed a non-paced ventricular rhythm. Chest radiograph showed the ventricular pacemaker lead located distally overlying the right ventricle apical area. On further investigation, chest computed tomography showed a perforation of the ventricular wall by the pacemaker lead prompting urgent intervention by the cardiothoracic surgery team for lead replacement and right ventricular repair. Discussion: Our case illustrates the importance of timely recognition of a perforated pacemaker lead in a patient presenting with chest pain after device implantation. We additionally describe the risk factors for ventricular perforation, initial clinical presentation, and management approach.
format	article
author	Maria C. Cañizares-Otero Mauricio Danckers
author_facet	Maria C. Cañizares-Otero Mauricio Danckers
author_sort	Maria C. Cañizares-Otero
title	Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain
title_short	Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain
title_full	Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain
title_fullStr	Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain
title_full_unstemmed	Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain
title_sort	pacemaker lead migration and ventricular perforation in a patient presenting with chest pain
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/a07b206dc26d41fe8ba58d1152705fe0
work_keys_str_mv	AT mariaccanizaresotero pacemakerleadmigrationandventricularperforationinapatientpresentingwithchestpain AT mauriciodanckers pacemakerleadmigrationandventricularperforationinapatientpresentingwithchestpain
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Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain

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