Asymptomatic right ventricular perforation by an implantable cardioverter defibrillator lead detected by home monitoring system

Federico Migliore; Loira Leoni; Gianluca Torregrossa; Cosimo Guglielmi; Giuseppe Tarantini; Gianfranco Buja; Sabino Iliceto; Domenico Corrado

doi:10.1016/j.jelectrocard.2010.07.022

Asymptomatic right ventricular perforation by an implantable cardioverter defibrillator lead detected by home monitoring system

J Electrocardiol. 2010 Nov-Dec;43(6):673-5. doi: 10.1016/j.jelectrocard.2010.07.022.

Authors

Federico Migliore¹, Loira Leoni, Gianluca Torregrossa, Cosimo Guglielmi, Giuseppe Tarantini, Gianfranco Buja, Sabino Iliceto, Domenico Corrado

Affiliation

¹ Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padova, Italy.

PMID: 20888001
DOI: 10.1016/j.jelectrocard.2010.07.022

Abstract

Right ventricular lead perforation is a rare but serious and potentially life-threatening complication of pacemaker or defibrillator lead implantation. This report describes a patient with Brugada syndrome in whom the diagnosis of asymptomatic right ventricular perforation by an implantable cardioverter defibrillator lead was detected 12 days after implantation, thanks to a report from home monitoring system. The patient was admitted to our institution, where the lead was explanted and replaced. This case illustrates the potential lifesaving benefit of the home monitoring system in patients with implantable cardioverter defibrillator.

Publication types

Case Reports

MeSH terms

Brugada Syndrome / complications
Brugada Syndrome / prevention & control
Defibrillators, Implantable / adverse effects*
Device Removal
Electrodes, Implanted / adverse effects*
Heart Injuries / etiology*
Heart Injuries / surgery*
Heart Ventricles / injuries*
Heart Ventricles / surgery
Humans
Male
Middle Aged
Treatment Outcome
Wounds, Penetrating / diagnosis*
Wounds, Penetrating / etiology*
Wounds, Penetrating / surgery