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Updated: May 2, 2026

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Late atrial appendage perforation from a pacemaker lead pacemaker complication.

Georgios Souretis¹, Christophoros Kotoulas, Panagiotis Xapladeris

¹Department of Cardiology, Army Veterans Hospital of Athens, Athens, Greece.

Asian Cardiovascular & Thoracic Annals

|March 4, 2014

Summary

This summary is machine-generated.

Late cardiac perforation from pacemaker leads is rare but can occur. This case study details the successful treatment of a 65-year-old man experiencing this rare complication.

Keywords:

Electrodes artificial foreign-body migration heart injuries implanted pacemaker pericardial effusion

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Area of Science:

Cardiology
Medical Devices
Cardiac Electrophysiology

Background:

Lead perforation is a known but infrequent complication of cardiac electronic device implantation.
The incidence of lead perforation typically ranges from 0.3% to 1%.

Observation:

Late lead perforations, occurring more than one month post-implantation, are considered exceptionally rare.
A 65-year-old male patient presented with late cardiac perforation.

Findings:

The perforation was attributed to an active fixation pacemaker lead.
The patient's initial pacemaker implantation procedure was uneventful.
Successful treatment of the late cardiac perforation was achieved.

Implications:

This case highlights the importance of considering late lead perforation even after uncomplicated pacemaker implantation.
It underscores the need for vigilance and appropriate management strategies for rare device complications.
Further research may be warranted to understand the mechanisms and risk factors for late lead perforations.