Related Experiment Video
Updated: Jul 8, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
Right ventricular perforation with an ICD defibrillation lead managed by surgical revision and epicardial leads--case
Lubomír Krivan1, Milan Kozák, Jitka Vlasínová
1Department of Cardiology, University Hospital Brno, Jihlavská 20, 625 00 Brno, Czech Republic. lkrivan@fnbrno.cz
Abstract:
The authors present two cases of patients with perforation of the right ventricular wall by the implantable cardioverter defibrillator (ICD) lead. The complication was resolved by cardiosurgical revision and epicardial leads stitched onto the diaphragmatic wall of the heart. The perforation was identified by electrical parameter changes of the leads, echocardiography, and computed tomography. Both patients had satisfactory values of electrical parameters and ICD function with epicardial leads. The importance of regular follow-up and a check of the lead parameters are emphasized.
Related Concept Videos
Cardiomyopathy V: Interprofessional Care
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Pericarditis III: Medical Management
Cardiomyopathy II: Dilated Cardiomyopathy
