open access

Vol 66, No 8 (2008)
Other
Published online: 2008-08-27
Submitted: 2012-12-28
Get Citation

Case report
An old ventricular lead migration and subsequent dislodgement to the pleural cavity – an unusual complication of permanent cardiac pacing

Elżbieta Adamowicz-Czoch, Jan Głowacki, Michał Hawranek, Bogusława Dzióbek, Marek Gierlotka, Marian Zembala
Kardiol Pol 2008;66(8):869-872.

open access

Vol 66, No 8 (2008)
Other
Published online: 2008-08-27
Submitted: 2012-12-28

Abstract

A case of a 77 year old male with a history of multiple pacemaker replacement procedures, a new ventricular lead implanted and an old one left in place, and imminent skin erosion at the site of a pacemaker pocket is presented. Clinical diagnosis included right-sided heart failure, pneumonia, pleural effusion and suspicion of pulmonary infarction as well as endocarditis. Chest radiogram and computerised tomography revealed an unusual location of an old ventricular lead which proximal, sharp end migrated through the venous system via right ventricle and pericardium to the left pleural cavity.

Abstract

A case of a 77 year old male with a history of multiple pacemaker replacement procedures, a new ventricular lead implanted and an old one left in place, and imminent skin erosion at the site of a pacemaker pocket is presented. Clinical diagnosis included right-sided heart failure, pneumonia, pleural effusion and suspicion of pulmonary infarction as well as endocarditis. Chest radiogram and computerised tomography revealed an unusual location of an old ventricular lead which proximal, sharp end migrated through the venous system via right ventricle and pericardium to the left pleural cavity.
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Keywords

cardiac pacing; complications; lead migration

About this article
Title

Case report
An old ventricular lead migration and subsequent dislodgement to the pleural cavity – an unusual complication of permanent cardiac pacing

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 8 (2008)

Pages

869-872

Published online

2008-08-27

Bibliographic record

Kardiol Pol 2008;66(8):869-872.

Keywords

cardiac pacing
complications
lead migration

Authors

Elżbieta Adamowicz-Czoch
Jan Głowacki
Michał Hawranek
Bogusława Dzióbek
Marek Gierlotka
Marian Zembala

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