Successful management of late right ventricular perforation after pacemaker implantation

Abstract

Complications of pacemaker implantation include myocardial perforation, venous thrombosis, vegetations of the tricuspid valve or pacing lead, and tricuspid regurgitation. We report a patient presenting with a case of delayed ventricular lead perforation through the right ventricle. The lead was uneventfully extracted under transesophageal echocardiographic observation in the operating room with cardiac surgery backup. © 2010 Bigdeli et al, publisher and licensee Dove Medical Press Ltd.