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Related Experiment Video

Updated: Aug 16, 2025

Translational Rabbit Model of Chronic Cardiac Pacing

Translational Rabbit Model of Chronic Cardiac Pacing

Published on: January 6, 2023

Pacemaker lead in lung, a rare case.

Pankaj Kumar¹, Sanjeev Sanghvi¹, Rohit Mathur¹

¹Department of Cardiology and, Department of Radiodiagnosis, Dr. S. N. Medical College, Jodhpur, India.

Indian Pacing and Electrophysiology Journal

|December 22, 2022

Summary

This summary is machine-generated.

Pacemaker lead perforation is rare. A ventricular lead migrated into the lung without severe symptoms, detected by imaging and managed with a new device placement.

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Area of Science:

Cardiology
Medical Devices
Thoracic Surgery

Background:

Pacemaker lead perforation is a rare but serious complication of pacemaker implantation.
Complications typically involve cardiac tamponade or hemothorax, which were absent in this case.
Diagnosis can be challenging, with standard echocardiography sometimes failing to detect perforation.

Observation:

A case of ventricular pacemaker lead perforation into the left lung parenchyma is presented.
The perforation occurred without significant pericardial effusion, cardiac tamponade, or pneumothorax.
The patient's symptoms were primarily related to pacemaker failure.

Findings:

Echocardiography failed to detect the lead perforation.
Fluoroscopy and computed tomography (CT) were essential for accurate diagnosis.
The lead migrated through the right ventricle and pericardium into the lung.

Implications:

This case highlights the importance of advanced imaging in diagnosing rare pacemaker complications.
Non-invasive diagnostic methods like CT are vital when echocardiography is inconclusive.
Management involved placing a second pacemaker system without disturbing the malpositioned lead.