Very late-onset atrial lead perforation leading to pneumopericardium

Kei Enokizono; Tsukasa Kamakura; Akiyuki Kotoku; Jun Nakata; Hideo Matama; Kengo Kusano

doi:10.1111/jce.15930

Very late-onset atrial lead perforation leading to pneumopericardium

J Cardiovasc Electrophysiol. 2023 Jun;34(6):1473-1476. doi: 10.1111/jce.15930. Epub 2023 May 24.

Authors

Kei Enokizono¹, Tsukasa Kamakura¹, Akiyuki Kotoku², Jun Nakata¹, Hideo Matama¹, Kengo Kusano¹

Affiliations

¹ Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
² Department of Radiology, National Cerebral and Cardiovascular Center, Osaka, Japan.

PMID: 37222178
DOI: 10.1111/jce.15930

Abstract

Background: Atrial lead perforation may lead to pneumopericardium or pneumothorax within a few days of device implantation.

Methods and results: We report a case of atrial lead perforation 6 years after cardiac resynchronization therapy implantation, which resulted in pneumopericardium and pneumothorax.

Conclusion: Although pneumopericardium caused by atrial lead perforation can spontaneously resolve with conservative treatment, as it did in this case, treatment should be decided based on the patient's general condition and lead performance.

Keywords: cardiac implantable electronic device; cardiac resynchronization therapy; lead perforation; pneumopericardium; pneumothorax.

Publication types

Case Reports

MeSH terms

Atrial Fibrillation* / complications
Heart Injuries* / diagnostic imaging
Heart Injuries* / etiology
Heart Injuries* / therapy
Humans
Pacemaker, Artificial* / adverse effects
Pneumopericardium* / diagnostic imaging
Pneumopericardium* / etiology
Pneumopericardium* / therapy
Pneumothorax* / diagnostic imaging
Pneumothorax* / etiology
Pneumothorax* / therapy