Delayed right-ventricular perforation by pacemaker lead; a rare complication in a 12-year-old girl

Hayrettin Hakan Aykan1, Alper Akın2, İlker Ertuğrul2

  • 1Department of Pediatric Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey. h_h_aykan@yahoo.com.

Insights

Congenital heart disease treatments require more pacemakers and implantable cardioverter defibrillators (ICDs). This report details a rare case of cardiac perforation, a serious complication, occurring two years after pacemaker implantation.

Area of Science:

  • Cardiology
  • Medical Devices

Background:

  • Advancements in congenital heart disease diagnosis and treatment increase the need for intracardiac pacemaker and implantable cardioverter defibrillator (ICD) implantation.
  • Pacemaker and ICD implantation are associated with various short-term and long-term complications.

Observation:

  • This report presents a rare case of cardiac perforation.
  • The perforation occurred two years after the initial pacemaker implantation.

Findings:

  • Cardiac perforation is a potential long-term complication of pacemaker implantation.
  • Rare but severe complications can arise years after device implantation.

Implications:

  • Highlights the importance of long-term monitoring for patients with pacemakers and ICDs.
  • Underscores the need for vigilance regarding rare device-related complications.
  • Informs clinical practice regarding potential delayed adverse events following cardiac device implantation.