Published: Dec 18, 2024
  
 
     
  Keywords:
right ventricular lead migration, Right ventricular defibrillator lead migration, right ventricular perforation, implantable cardioverter defibrillator implantation, permanent pacemaker implantation
  
     
 
   
 
 
 
 
 
 
 
 
 
 
 

 

 
   
 
 
 
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    Home / Archives / Vol. 20  No. 2 (2567) : July - December / Case Report  
 
  Defibrillator lead migration with subacute right ventricular perforation : A case report
  
   
   
     
 
Natchayathipk Kittichamroen
Internal medicine department, Charoenkrung Pracharak Hospital, Department of Medical Services, Bangkok Metropolitan Administration (BMA)

Abstract

Permanent pacemaker (PPM) or automated implantable cardioverter defibrillator (AICD) implantation are one of the options for arrhythmia treatment. Right ventricular (RV) perforation is one of           the complications, which is rare. However, if it happens it can have serious consequences of PPM and AICD implantation.


We report a case of right ventricular perforation by an AICD lead in a 70-year-old Australian male underwent AICD implantation for non-ischemic cardiomyopathy for 18 days prior to the presentation.                The patient had right ventricular failure to capture. Computed tomography chest imaging and fluoroscopy demonstrated that the tip of the RV lead migrated outside the RV compared to previous study on implantation date. Hence RV perforation was diagnosed.  After catheter placement in pericardium was done for emergency event standby, the patient underwent RV defibrillator lead reposition from RV septum to RV apex without acute complication. Device interrogation after immediate re-operation and 3 years follow-up revealed a stable right ventricular pacing, threshold and position. 

  
     
     
     
     
 
    How to Cite  
     
  Kittichamroen, N. (2024). Defibrillator lead migration with subacute right ventricular perforation : A case report. Journal of Charoenkrung Pracharak Hospital, 20(2), 80–96. Retrieved from https://he02.tci-thaijo.org/index.php/JCP/article/view/269501  
     

 
 
     
     
 
    Issue  
     
  Vol. 20 No.2 (2567): July - December  

 
 
     
     
 
    Section  
     
  Case Report  

 
 
     
     
     

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