Abstract
A 56-year-old man presented for lead extraction of a left ventricular (LV) lead that had been deactivated due to hiccups and of a right ventricular (RV) lead with a high threshold. Pus was noted upon entering the pocket. The right atrial and RV leads were extracted, but traction on the LV lead caused ischemia and was not performed. An echocardiogram demonstrated the lead in the left atrium and a robotic-assisted thoracotomy was used to remove the lead that had unroofed the coronary sinus, gone into the left atrium, and perforated through the free wall into the pericardium.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 502-506 |
| Number of pages | 5 |
| Journal | PACE - Pacing and Clinical Electrophysiology |
| Volume | 39 |
| Issue number | 5 |
| DOIs | |
| State | Published - Jan 1 2016 |
| Externally published | Yes |
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Keywords
- coronary sinus perforation
- late lead perforation
- lead infection
- lead related pericarditis
- left atrial perforation
- robotic cardiac surgery
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Late Manifestation of Coronary Sinus and Left Atrial Perforation of a Left Ventricular Pacemaker Lead at Extraction. / Oesterle, Adam; Balkhy, Husam H.; Green, John; Burke, Martin C.
In: PACE - Pacing and Clinical Electrophysiology, Vol. 39, No. 5, 01.01.2016, p. 502-506.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Late Manifestation of Coronary Sinus and Left Atrial Perforation of a Left Ventricular Pacemaker Lead at Extraction
AU - Oesterle, Adam
AU - Balkhy, Husam H.
AU - Green, John
AU - Burke, Martin C.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - A 56-year-old man presented for lead extraction of a left ventricular (LV) lead that had been deactivated due to hiccups and of a right ventricular (RV) lead with a high threshold. Pus was noted upon entering the pocket. The right atrial and RV leads were extracted, but traction on the LV lead caused ischemia and was not performed. An echocardiogram demonstrated the lead in the left atrium and a robotic-assisted thoracotomy was used to remove the lead that had unroofed the coronary sinus, gone into the left atrium, and perforated through the free wall into the pericardium.
AB - A 56-year-old man presented for lead extraction of a left ventricular (LV) lead that had been deactivated due to hiccups and of a right ventricular (RV) lead with a high threshold. Pus was noted upon entering the pocket. The right atrial and RV leads were extracted, but traction on the LV lead caused ischemia and was not performed. An echocardiogram demonstrated the lead in the left atrium and a robotic-assisted thoracotomy was used to remove the lead that had unroofed the coronary sinus, gone into the left atrium, and perforated through the free wall into the pericardium.
KW - coronary sinus perforation
KW - late lead perforation
KW - lead infection
KW - lead related pericarditis
KW - left atrial perforation
KW - robotic cardiac surgery
UR - http://www.scopus.com/inward/record.url?scp=85012126397&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85012126397&partnerID=8YFLogxK
U2 - 10.1111/pace.12822
DO - 10.1111/pace.12822
M3 - Article
C2 - 26846355
AN - SCOPUS:85012126397
VL - 39
SP - 502
EP - 506
JO - PACE - Pacing and Clinical Electrophysiology
JF - PACE - Pacing and Clinical Electrophysiology
SN - 0147-8389
IS - 5
ER -