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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
Implantable cardioverter defibrillator patch erosion presenting as hemoptysis
C N Verheyden1, L Price, D J Lynch
1Scott & White Clinic, Temple, TX 76508.
Journal of Cardiovascular Electrophysiology
|November 1, 1994
Summary
Internal cardioverter defibrillators prevent sudden cardiac death but can cause rare complications. One patient developed a left ventricle-to-bronchus fistula due to ventricular patch erosion, presenting with hemoptysis.
Area of Science:
- Cardiology
- Medical Device Complications
- Thoracic Surgery
Background:
- Internal cardioverter defibrillators (ICDs) are crucial for managing life-threatening ventricular arrhythmias.
- Despite their benefits, ICD implantation carries potential risks and complications.
Observation:
- A patient presented with hemoptysis, a concerning symptom requiring thorough investigation.
- The hemoptysis was ultimately linked to an unusual complication of ICD therapy.
Findings:
- A fistula formed between the left ventricle and a bronchus.
- This fistula resulted from the erosion of the ventricular patch associated with the internal cardioverter defibrillator.
Implications:
- This case highlights a rare but serious complication of internal cardioverter defibrillator use.
- Clinicians must maintain awareness of potential device-related fistulas in patients presenting with relevant symptoms.
- Early recognition and management are critical for patient outcomes.
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