Abstract
A 64-year-old-male with ischemic cardiomyopathy and a severely reduced left ventricular ejection fraction underwent a left sided ICD implantation for primary prophylaxis. Given a history of sarcoidosis and bifasicular block on ECG, a dual chamber device was placed in anticipation of progressive conduction disease. The patient returned 2 days after implantation with a right sided tension pneumothorax. A chest tube was immediately placed with hemodynamic and clinical improvement. CT chest revealed extrusion of the atrial lead through the right atrial appendage. The atrial lead was removed without incident.
| Original language | English |
|---|---|
| Pages (from-to) | 157-158 |
| Number of pages | 2 |
| Journal | Journal of Interventional Cardiac Electrophysiology |
| Volume | 17 |
| Issue number | 2 |
| DOIs | |
| State | Published - Nov 2006 |
| Externally published | Yes |
Keywords
- Atrial lead perforation
- Contralateral pneumothorax
- Pneumomediastinum