医学
心包积液
穿孔
肺栓塞
并发症
铅(地质)
急诊科
心脏病学
介绍(产科)
导管
外科
内科学
材料科学
冶金
地质学
冲孔
精神科
地貌学
作者
Azhar Farooqui,Thomas C. Key,Ugochukwu Ihekwaba,Kai Hogrefe
出处
期刊:Acute medicine
日期:2020-07-01
卷期号:19 (3): 145-148
被引量:2
摘要
Myocardial perforation is a rare yet serious complication following cardiac pacemaker or defibrillator device procedures. In this article, the authors describe a case of right ventricular pacemaker lead perforation presenting to our hospital’s medical assessment unit with a clinical presentation suggestive of an acute pulmonary embolism. Treatment dose low molecular weight heparin (LMWH) was commenced while awaiting CT scan. CT images were negative for PE however demonstrated RV lead perforation. Echocardiogram demonstrated pericardial effusion with the tip of RV lead in the pericardial free space. A rapid deterioration in the patient’s haemodynamics prompted an emergency pericardial drain insertion and successful RV lead re-position in the cardiac catheter lab. The patient recovered well and was discharged with routine pacemaker clinic follow-up.
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