An Unexpected Complication of Subcutaneous ICD Implantation and its Successful Management

Tomoya Yanagishita; Shogo Sakamoto; Yuta Yoshisako; Kaya Sasaki; Takashi Nakatsuji; Kenji Tamura; Tomokazu Iguchi; Toru Kataoka; Yasuhiro Izumiya; Minoru Yoshiyama

doi:10.1016/j.jaccas.2020.04.044

An Unexpected Complication of Subcutaneous ICD Implantation and its Successful Management

JACC Case Rep. 2020 Jun 17;2(6):889-893. doi: 10.1016/j.jaccas.2020.04.044. eCollection 2020 Jun.

Affiliations

¹ Department of Cardiovascular Medicine, Bell Land General Hospital, Osaka, Japan.
² Department of Cardiovascular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan.

Abstract

Subcutaneous implantable cardioverter-defibrillator implantation is known to be a safe procedure. However, inappropriate lead insertion can lead to serious complications. We present a case where an inappropriate lead placement resulted in puncturing the lung parenchyma, and successful management of the lead-related pneumothorax through thoracoscopic lead removal and partial lung resection. (Level of Difficulty: Intermediate.).

Keywords: CT, computed tomography; ICD, implantable cardioverter-defibrillator; S-ICD, subcutaneous implantable cardioverter-defibrillator; lead complication; pneumothorax; subcutaneous implantable cardioverter.

Publication types

Case Reports