Right ventricular perforation, pneumothorax, and a pneumatocele by a pacemaker lead: a case report

JA Clinical Reports

Shihoko Iwata¹  Yasuko Nagasaka¹  Ayana Hirose¹  Makoto Ozaki¹  Ikue Furui¹  Takako Matsumoto² 

[1] Department of Anesthesiology, Tokyo Women’s Medical University Hospital;Department of Thoracic Surgery, Tokyo Women’s Medical University Medical Center East;

关键词: Pacemaker lead;    Cardiac perforation;    Pneumothorax;    Pneumatocele;    Lung resection;   

DOI  :  10.1186/s40981-021-00470-8

来源: DOAJ

【 摘 要 】

Abstract Background Perforation of the right ventricle by a pacemaker lead is a rare and potentially life-threatening complication. We present a patient who developed right ventricular perforation, pneumothorax, and a cyst and underwent partial lung resection. Case presentation A 94-year-old woman was diagnosed with sick sinus syndrome and underwent a dual-chamber permanent pacemaker implantation. The next day, pacing failed and chest radiography showed that the right ventricular lead was outside the cardiac silhouette. Computed tomography revealed that the lead had perforated the right ventricular apex, causing a left-sided pneumothorax and a cystic lesion at the site of pulmonary injury by the pacemaker lead. The patient underwent lung resection and a right ventricular lead extraction. Pathological analysis revealed the cystic lesion to be an acute pneumatocele. Conclusions Pneumothorax and pneumatocele associated with right ventricular pacemaker lead perforation is extremely rare. In our case, a radical surgical intervention provided an excellent outcome.

【 授权许可】

Unknown