Abstract

NEGRETE, Alberto et al. Late right ventricular perforation with active fixation electrode in the septum with diaphragmatic stimulation as first clinical manifestation. Rev. Colomb. Cardiol. [online]. 2012, vol.19, n.4, pp.192-194. ISSN 0120-5633.

Myocardial perforation is a rare complication of pacemakers and defibrillators implantation that can occur when inserting the electrodes. However, regarding the use of active fixation electrodes, perforation can occur several days or weeks after the implant . We describe the case of a patient who was implanted a dual chamber pacemaker with active fixation electrodes. A week later we evidenced myocardial perforation by the ventricular electrode with diaphragmatic stimulation as clinical manifestation. Initially there was no radiological evidence of perforation and it required endovascular approach for extraction.

Keywords : pacemakers; cardiac rupture; arrhythmias.

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