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Tale of a Wandering Lead: Late Atrial Lead Perforation into Right Lung following Pacemaker Implantation

Arjun Saradna1, Ankur Sinha1, Madina Abduraimova1

  • 1Internal Medicine, Maimonides Medical Center.

Cureus
|January 30, 2018
PubMed

Insights

Cardiac perforation from pacemaker leads is rare and can be asymptomatic. High-resolution computed tomography (HRCT) is key for diagnosing this rare pacemaker complication, even without typical symptoms.

Area of Science:

  • Cardiology
  • Medical Devices
  • Cardiac Surgery

Background:

  • Cardiac perforation is a rare but serious complication following pacemaker implantation.
  • Symptoms of cardiac perforation can range from mild to severe, including chest pain and shortness of breath, or be entirely absent.
  • Late presentation of cardiac perforation, particularly by atrial leads, is infrequently reported.

Keywords:
displacedlungpacemakerpenetratingperforation

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