AI Article Synopsis
- Ventricular septal perforation is an uncommon but serious complication that can occur after pacemaker insertion, illustrated by a case study of a 69-year-old man with heart issues.
- Despite the detection of a small perforation after the procedure, it showed a low shunt rate and did not require any urgent medical intervention.
- Clinicians should be aware that while most cases may resolve on their own, some perforations can persist and need monitoring.
Article Abstract
Unlabelled: Ventricular septal perforation is a rare complication of pacemaker implantation. Here, we describe the case of a 69-year-old man with complete atrioventricular block and heart failure. The right ventricular pacemaker was implanted with a long pre-shaped delivery sheath. A new systolic murmur appeared after the procedure. Transthoracic echocardiography revealed a ventricular septal perforation, with a Qp/Qs of 1.09, which was a small shunt rate and required no intervention. The persistent ventricular septal perforation was observed, and the shunt rate remained at 8-month follow-up.
Learning Objective: Ventricular septal lead perforation (VSP) is a rare complication of pacemaker implantation. Although iatrogenic VSP generally close spontaneously without adverse clinical outcomes, clinicians should pay attention to the possibility of its persistence.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10865116 | PMC |
| http://dx.doi.org/10.1016/j.jccase.2023.10.013 | DOI Listing |
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