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Unusual Delayed Complication of Pacemaker Leads

Anupam K Gupta1, Monica I Burgos Claudio2, Nir Hus3,4

  • 1Minimally Invasive Surgery, University of Miami Hospital, Miami, USA.

Cureus
|September 3, 2020
PubMed

Insights

Displaced pacemaker leads caused chest pain in three patients. Diagnosis required imaging, and lead extraction with heart repair necessitated a pericardial window procedure.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Electrophysiology

Background:

  • Pacemaker implantation is a common procedure for managing cardiac rhythm disorders.
  • Displacement of pacemaker leads can lead to significant complications, including chest pain.

Observation:

  • Three patients presented with recurrent chest pain attributed to displaced pacemaker leads.
  • Repeated emergency room evaluations were initially required for symptom assessment.

Findings:

  • Imaging modalities were crucial in diagnosing the precise location of the misplaced ventricular pacemaker leads.
  • Surgical intervention, including a pericardial window, was necessary for lead extraction and cardiac defect repair.

Implications:

  • This case series highlights the importance of considering lead displacement in patients with pacemakers experiencing chest pain.
  • Multidisciplinary management involving cardiologists and electrophysiologists is vital for optimal patient outcomes.
  • Timely diagnosis and intervention can prevent serious cardiac complications associated with lead malposition.

Keywords:
delayed presentation of perforationlead dislogmentpacemaker lead perforation

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