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Related Experiment Videos

Atrial lead perforation: a case report.

J M Irwin1, G S Greer, J E Lowe

  • 1Division of Cardiology, Duke University Medical Center, Durham, North Carolina 27710.

Pacing and Clinical Electrophysiology : PACE
|November 1, 1987
PubMed
Summary
This summary is machine-generated.

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A chronic atrial lead perforated the right atrium and lung, causing hemopneumothorax and pneumomediastinum. Chest CT scans are crucial for diagnosing this rare but serious complication of pacemaker lead placement.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Radiology

Background:

  • Atrial lead perforation is a rare but serious complication of cardiac implantable electronic devices.
  • Prompt diagnosis and management are essential to prevent life-threatening consequences.

Observation:

  • A patient presented with symptoms secondary to a chronic atrial lead perforation.
  • The perforation involved the right atrium and extended into the right lung, causing hemopneumothorax and pneumomediastinum.

Findings:

  • Chest computerized tomographic (CT) scan clearly documented the hemopneumothorax and pneumomediastinum.
  • Pneumomediastinum on chest CT should raise suspicion for atrial lead perforation.

Implications:

  • This case highlights the diagnostic utility of chest CT in identifying atrial lead perforation.

Related Experiment Videos

  • Early recognition of pneumomediastinum as a sign of lead perforation can guide timely intervention.