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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Perforation of the right ventricle during cardiac resynchronisation therapy upgrade not related to a coexisting
Rui Providência1, Luís V Paiva, Romeu Cação
1Department of Cardiology, Coimbra's Hospital Centre and University, S. Martinho do Bispo, Coimbra, Portugal. rui_providencia@yahoo.com
Abstract:
Right ventricle (RV) perforation is a complication that may arise during device implants. We present the case of a patient undergoing cardiac resynchronisation therapy upgrade that was complicated with an RV perforation. The lead was successfully repositioned with a good final outcome. Despite being uncommon, persistence of the left superior vena cava is the most frequent venous cardiac anomaly and may pose challenges during the implant procedure, namely when the right superior vena cava (RSVC) is absent. Still, in this patient it was not related to the event, as the leads were advanced through the RSVC.
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