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Related Experiment Video

Updated: Nov 5, 2025

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

Subacute right ventricle perforation: a pacemaker lead complication.

Emna Allouche^1,2, Soumaya Chargui^3,4, Marwa Fathi¹

¹Cardiology Department, Charles Nicolle Hospital, Tunis, Tunisia.

BMJ Case Reports

|May 13, 2021

Summary

Subacute myocardial perforation, a rare complication of pacemakers, occurred 10 days post-implantation in an 85-year-old patient. The active fixation ventricular lead perforated the right ventricle, requiring surgical management.

Keywords:

arrhythmias pacing and electrophysiology

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Last Updated: Nov 5, 2025

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Published on: September 24, 2021

Area of Science:

Cardiology
Medical Devices
Cardiac Surgery

Background:

Myocardial perforation is a rare but serious complication of pacemaker and implantable cardioverter-defibrillator implantation.
It can manifest acutely, subacutely, or chronically, with subacute perforation (1-30 days post-implantation) being particularly uncommon (0.5%-1.2% of cases).

Observation:

An 85-year-old patient experienced pacemaker failure 10 days after implantation.
Imaging revealed the active fixation ventricular lead had perforated the right ventricular apex and entered the pericardium.

Findings:

Transthoracic echocardiography and CT scan confirmed subacute myocardial perforation.
The patient presented with pacemaker failure due to lead displacement into the pericardium.

Implications:

This case highlights the importance of considering subacute myocardial perforation in pacemaker lead complications.
Prompt diagnosis and surgical intervention are crucial for successful management of this rare event.