AI Article Synopsis
- Erosion of a pacemaker lead into the chest can cause serious complications like pericardial effusion and potentially lead to cardiac arrest.
- A patient experienced a unique case where a right ventricular pacer lead eroded into the left chest wall and penetrated a rib, but did not present with effusion.
- After the rib section was removed, the patient recovered well and was discharged a week later, highlighting the importance of addressing non-functional pacing leads.
Article Abstract
Background: Erosion 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 Presentation: We 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.
Conclusions: The 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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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538471 | PMC |
| http://dx.doi.org/10.1186/s40792-020-00999-3 | DOI Listing |
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