Cardiac perforation due to permanent pacemaker insertion and management

Abstract

Complication rates of implanting devices vary between 3% and 7.5%. The most frequently occurring and potentially significant acute complications include pneumothorax (1.9%–3.7%), lead displacement (0.5%–4.8%) and myocardial perforation (0.37%–1%).An 69-year-old women, who was diagnosed Sick sinus syndrome (I49.5). Because of the frequent sinus arrest, she underwent permanent pacemaker implantation treatment. After treatment, there occurred complication: ventricular lead caused cardiac perforation. As the pain persisted continuously, open surgery was performed to remove the right ventricular lead completely. Lead perforation may present with chest pain, dyspnea and/or symptoms associated with pericardial tamponade. In many cases, lead perforation is left for follow-up management, professional do not tend to extract the lead, and in few cases, open method is used for complete separation.