Late Manifestation of Coronary Sinus and Left Atrial Perforation of a Left Ventricular Pacemaker Lead at Extraction

Adam Oesterle; Husam H. Balkhy; John Green; Martin C. Burke

doi:10.1111/pace.12822

Late Manifestation of Coronary Sinus and Left Atrial Perforation of a Left Ventricular Pacemaker Lead at Extraction

Adam Oesterle, Husam H. Balkhy, John Green, Martin C. Burke

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

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	https://doi.org/10.1111/pace.12822
State	Published - Jan 1 2016
Externally published	Yes

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

Access to Document

10.1111/pace.12822

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title = "Late Manifestation of Coronary Sinus and Left Atrial Perforation of a Left Ventricular Pacemaker Lead at Extraction",

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.",

keywords = "coronary sinus perforation, late lead perforation, lead infection, lead related pericarditis, left atrial perforation, robotic cardiac surgery",

author = "Adam Oesterle and Balkhy, {Husam H.} and John Green and Burke, {Martin C.}",

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AU - Balkhy, Husam H.

AU - Green, John

AU - Burke, Martin C.

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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.

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KW - coronary sinus perforation

KW - late lead perforation

KW - lead infection

KW - lead related pericarditis

KW - left atrial perforation

KW - robotic cardiac surgery

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