[Left Internal Thoracic Artery Injury due to Lead Perforation After Pacemaker Implantation:Report of a Case]
Yuki Echie1, Hironobu Morimoto, Takashi Harada
1Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Fukuyama, Japan.
None:
Perforation of a pacemaker lead is a serious life-threatening complication. Most cases involve the heart alone and rarely involve adjacent organs. The day after the pacemaker was implanted, the patient suddenly became hypotensive and went into shock, and a computed tomography (CT) scan showed an anterior mediastinal hematoma due to bleeding from the left internal thoracic artery. We report a case in which emergency surgery was performed to save the patient's life after assuming that the hemorrhage was caused by a lead leading hemorrhage.
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