Recurrent Pericardial Effusion Resulting From Right Ventricular Free Wall Injury Caused by Leadless Pacemaker Tines

Takafumi Oka, MD, PhD; Kentaro Ozu, MD; Takayuki Sekihara, MD; Tetsuo Furukawa, MD; Shigeru Miyagawa, MD, PhD; Yasushi Sakata, MD, PhD

JACC: Case Reports (Jul 2024)

Recurrent Pericardial Effusion Resulting From Right Ventricular Free Wall Injury Caused by Leadless Pacemaker Tines

Takafumi Oka, MD, PhD,
Kentaro Ozu, MD,
Takayuki Sekihara, MD,
Tetsuo Furukawa, MD,
Shigeru Miyagawa, MD, PhD,
Yasushi Sakata, MD, PhD

Affiliations

Takafumi Oka, MD, PhD: Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan; Address for correspondence: Dr Takafumi Oka, Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan.
Kentaro Ozu, MD: Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
Takayuki Sekihara, MD: Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
Tetsuo Furukawa, MD: Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
Shigeru Miyagawa, MD, PhD: Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
Yasushi Sakata, MD, PhD: Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan

Journal volume & issue: Vol. 29, no. 13
p. 102378

Abstract

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An 87-year-old man developed delayed cardiac tamponade 55 min after leadless pacemaker implantation and recurrent pericardial effusion 20 days later. Electrocardiogram-gated enhanced cardiac computed tomography revealed that the leadless pacemaker tines on the lateral side had penetrated the right ventricular free wall. He underwent off-pump hemostatic surgery.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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