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Erosion of a right ventricular pacer lead into the left chest wall

Authors
  • Herr, Michael J.1, 2
  • Cottrell, J. Macy1
  • Garrett Jr., H. Edward3
  • Weiman, Darryl S.3
  • 1 University of Tennessee Health Science Center, 910 Madison Ave. 10th floor, Memphis, TN, 38103, USA , Memphis (United States)
  • 2 University of Tennessee Health Science Center, 855 Monroe,5th floor, Memphis, TN, 38103, USA , Memphis (United States)
  • 3 University of Tennessee Health Science Center, 910 Madison Ave. 2nd floor, Memphis, TN, 38103, USA , Memphis (United States)
Type
Published Article
Journal
Surgical Case Reports
Publisher
Springer Berlin Heidelberg
Publication Date
Oct 06, 2020
Volume
6
Issue
1
Identifiers
DOI: 10.1186/s40792-020-00999-3
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundErosion of a pacer lead into the chest wall may result in pericardial effusion with cardiac tamponade. Free rupture into the pleura or mediastinum can result in hypotension and cardiac arrest.Case presentationWe report a unique case of a right ventricular pacer lead which eroded through the right ventricle into the left chest wall and penetrated a rib. The patient presented with a tender chest wall mass without pericardial or pleural effusion. The segment of rib which the pacing lead had penetrated was removed.ConclusionsThe patient tolerated the procedure well and was discharged 1 week after the operation. This case adds to the current literature the justification of removal of temporary and non-functional pacing leads.

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